Kimberly D Wilson
Kimberly D Wilson is an Undefined Non-Physician Type (Specify) in Olivehurst, California. Qualified in 2009, 17 years ago. Works from 2 locations. Licensed in California.
- Years since qualifying
- 17
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
4941 Olivehurst AveOlivehurst, CA 95961-4225
Phone: (530) 743-4614
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2240 E. Winrow Ave, Fort Huachauca, AA 85613 — (520) 533-3144
Specialties & licences
| Dental Hygienist (primary) | Taxonomy 124Q00000X · Licence 24554 (CA) |
|---|
Record details
| NPI number | 1447772124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 13, 2017 |
| Last updated in NPPES | September 17, 2020 |
| Certification date | September 17, 2020 |
| Mailing address | 935 Market St, Yuba City, CA 95991-4217 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Olivehurst
-
Gursharon Kaur Gill, RDH
4941 Olivehurst Ave, Olivehurst, CA 95961-4225 · (530) 743-4614
-
Mrs. Tiffany N Winters, RDH
4941 Olivehurst Ave, Olivehurst, CA 95961-4225 · (530) 743-4614