Kaitlyn Michelle Wilson
Dental Assistant
6323 N Fresno St Ste 101
Fresno
, California 93710-5282
Kaitlyn Michelle Wilson
Dental Assistant
6323 N Fresno St Ste 101
Fresno
, California 93710-5282
(559) 439-2307
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Kaitlyn Michelle Wilson
- 6323 N Fresno St Ste 101
- Fresno, CA
- Zip : 93710-5282
- Phone : (559) 439-2307
Second Address
- Kaitlyn Michelle Wilson
- 6323 N Fresno St Ste 101
- Fresno, CA
- Zip : 93710-5282
- Phone : (559) 439-2307
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Is Kaitlyn Michelle Wilson a sole practitioner?
Is Kaitlyn Michelle Wilson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | RA86061 | CA |
National Provider Identifier
| NPI | 1255829198 |
|---|---|
| Provider Name | Kaitlyn Michelle Wilson |
| First Address | Fresno, CA 93710-5282 |
| Second Address | Fresno, CA 93710-5282 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2018 |
| Last Update Date | 26/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.