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Katelyn Wile

Specialist in Kingston, NY. Individual provider (NPI-1).

NPI number1013314830
StatusActive
Last updated in NPPESNov 24, 2014

Details

NPI
1013314830
Entity type
Individual (NPI-1)
Name
Katelyn Wile
Sex
Female
Sole proprietor
No
Enumeration date
Nov 21, 2014
Last updated
Nov 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistP94636NYYes

Practice location

70 Kukuk Ln
Kingston, NY 12401-6943

Phone 845-336-2616 · Fax 845-336-4153

Mailing address

70 Kukuk Ln
Kingston, NY 12401-6943

Phone 845-336-2616 · Fax 845-336-4153

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