Karen Lynn Wild in Arnold - Pediatrics

Karen Lynn Wild - NPI 1023155033

Karen Lynn Wild is a Pediatrics in Arnold, Missouri. Karen Lynn Wild practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Karen Lynn Wild is 1023155033. The last update date is 2011-11-14.

Karen Lynn Wild's current location address is 3488 Jeffco Blvd Ste 102, Arnold, Missouri. You can contact this provider via phone number 6364645439 and fax number 6364645438. The mailing address for Karen Lynn Wild is 3488 Jeffco Blvd Ste 102, Arnold, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Karen Lynn Wild
Address 3488 Jeffco Blvd Ste 102, Arnold, Missouri
Phone Number 6364645439
Fax Number 6364645438
Sole Proprietor N
Credentials MPT

NPI Number Detail

NPI Number 1023155033
Provider Enumeration Date 2007-01-31
Last Updated Date 2011-11-14

Provider Mailing Address Detail

Address 3488 Jeffco Blvd Ste 102
City Arnold
State Missouri (MO)
Post Code 630106015
Phone Number 6364645439
Fax Number 6364645438

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 114477
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
483877411 MO --

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FAQs about Karen Lynn Wild

What is the unique identifier code issued to Karen Lynn Wild by the Centers for Medicare & Medicaid Services (CMS)?

The Karen Lynn Wild has been assigned the NPI (National Provider Identifier) 1023155033. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Karen Lynn Wild's facilities are situated?

The facilities of Karen Lynn Wild are physically located at the following address: 3488 Jeffco Blvd Ste 102, Arnold, MO, 630106015.

What is the area of specialization for Karen Lynn Wild, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Karen Lynn Wild is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.

On what date was the 1023155033 assigned to Karen Lynn Wild?

The Karen Lynn Wild was issued its 1023155033 on 2007-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Karen Lynn Wild, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Karen Lynn Wild, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-14.

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