Mrs Kimberly Renae Wilson, OTR - Occupational Therapist in Benton, LA

Mrs Kimberly Renae Wilson, OTR is a Occupational Therapist - Pediatrics based in Benton, Louisiana. Mrs Kimberly Renae Wilson is licensed to practice in Colorado (license number 3055) and her current practice location is 208 Country Club Dr, Benton, Louisiana. She can be reached at her office (for appointments etc.) via phone at (318) 507-9909.

NPI number for Mrs Kimberly Renae Wilson is 1508159229 and her current mailing address is 208 Country Club Dr, Benton, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508159229.

Contact Information

Mrs Kimberly Renae Wilson, OTR
208 Country Club Dr,
Benton, LA 71006-9463
(318) 507-9909
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kimberly Renae Wilson
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location208 Country Club Dr, Benton, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508159229
  • Provider Enumeration Date: 05/27/2011
  • Last Update Date: 08/07/2018

Medical Identifiers

Medical identifiers for Mrs Kimberly Renae Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508159229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 3055 (Colorado)Primary

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. Mrs Kimberly Renae 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 AddressPractice Location Address
Mrs Kimberly Renae Wilson, OTR
208 Country Club Dr,
Benton, LA 71006-9463

Ph: (318) 507-9909
Mrs Kimberly Renae Wilson, OTR
208 Country Club Dr,
Benton, LA 71006-9463

Ph: (318) 507-9909

Reviews and Comments


Occupational Therapist in Benton, LA

Danielle Kay Freeman,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 959 Crouch Rd, Benton, LA 71006
Phone: 318-965-9915    
Ms. Loretta Sermon,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 228 Cypress Lake Cir, Benton, LA 71006
Phone: 318-221-8411    
Christy Leah Gonzalez, LOTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 113 Lone Oak St, Benton, LA 71006
Phone: 318-355-7902    Fax: 318-355-7902

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