NPI 1164683967

Kathlyn Valleau Wilde, MD

Practitioner Pediatrics Physician Lewiston, ME

Practice location

Address: 33 Mollison Way, Lewiston, ME 04240-5805
Phone: (207) 784-5784
Fax: (207) 783-9268

Registered specialties (3)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD25564 (ME)

Other Pediatrics providers in Maine →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 0101261046 (VA)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Maine →

Registry record

NPI: 1164683967
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2008
Record last updated: 5 Feb 2024

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.