NPI 1013197334
Kimberly Jo Wilson, ATC
Practice location
- Address
- 2500 E Prospect Rd, Fort Collins, CO 80525-9718
- Phone
- (970) 493-4084
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1013197334
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Nov 2007
- Record last updated
- 5 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.