Dr Kim Janet Wilson, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Lewiston, Idaho. Dr Kim Janet Wilson is licensed to practice in Idaho (license number M-6746) and her current practice location is 415 6th St, Lewiston, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 746-0516.
NPI number for Dr Kim Janet Wilson is 1700863024 and her current mailing address is 3464 Elks Dr, Lewiston, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700863024.
Physician's Profile
| Full Name | Dr Kim Janet Wilson |
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| Gender | Female |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 415 6th St, Lewiston, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700863024
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 10/05/2007
Medical Identifiers
Medical identifiers for Dr Kim Janet Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700863024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M-6746 (Idaho) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD00032548 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kim Janet Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kim Janet Wilson, MD
3464 Elks Dr,
Lewiston, ID 83501-8630
Ph: (208) 798-0562 | Dr Kim Janet Wilson, MD
415 6th St,
Lewiston, ID 83501-2431
Ph: (208) 746-0516 |
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