MRS. Kira Wilson, RD

NPI #1396935987 in Portage, Wisconsin

Provider Information

NPI Number: 1396935987
Entity Type: Individual
Name: MRS. Kira Wilson, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Jul 30, 2007
Last Updated: Feb 17, 2015

Practice Location

Address: 2817 NEW PINERY RD
City: Portage
State: Wisconsin
ZIP Code: 53901-9240
Phone: (608) 742-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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