DR. Kristen Johanna Mary Wils, MD

NPI #1023802022 in Portland, Connecticut

Provider Information

NPI Number: 1023802022
Entity Type: Individual
Name: DR. Kristen Johanna Mary Wils, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MD
Enumeration Date: Apr 7, 2025
Last Updated: May 28, 2025

Practice Location

Address: 13 HIGH ST
City: Portland
State: Connecticut
ZIP Code: 06480-1616
Phone: (860) 358-6418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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