Kylan Wilson, CERTIFIEDPEDORTHIST
Kylan Wilson, CERTIFIEDPEDORTHIST is an Orthotist in San Angelo, Texas. Licensed in Texas. Registered with an NPI since 2014.
- Licensed in
- TX
- In the registry since
- 2014
Practice location Address checks out
110 E Twohig AveSan Angelo, TX 76903-5916
Phone: (325) 658-1511
Fax: (325) 481-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X · Licence 4075 (TX) |
|---|
Record details
| NPI number | 1174934186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CERTIFIEDPEDORTHIST |
| Sole proprietor | No |
| NPI enumerated | May 13, 2014 |
| Last updated in NPPES | May 13, 2014 |
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Mrs. Janice M Morris, CO
110 E Twohig Ave, San Angelo, TX 76903-5916 · (325) 653-9235