Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Wilson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417623109

Katherine Wilson is a Student in an Organized Health Care Education/Training Program in Camarillo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1756 S Lewis Rd
Camarillo, CA 93012-8520
Phone: (805) 383-3669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417623109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2021
Last updated in NPPESSeptember 10, 2021
Certification dateAugust 23, 2021
Mailing address1421 Suffolk Ave, Thousand Oaks, CA 91360-3537

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