Kristin Nicole Wilmes

NPI #1265706337 in Mascoutah, Illinois

Provider Information

NPI Number: 1265706337
Entity Type: Individual
Name: Kristin Nicole Wilmes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Mar 6, 2012
Last Updated: Nov 10, 2020

Practice Location

Address: 800 TANZANITE LN
City: Mascoutah
State: Illinois
ZIP Code: 62258-2953
Phone: (618) 567-0336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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