Provider Demographics
NPI:1861483273
Name:WILTSIE, KATHLEEN J (RN)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:J
Last Name:WILTSIE
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Gender:F
Credentials:RN
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Mailing Address - Street 1:2501 OAKINGTON ST
Mailing Address - Street 2:KIRK US ARMY HEALTH CLINIC
Mailing Address - City:ABERDEEN PROVING GROUND
Mailing Address - State:MD
Mailing Address - Zip Code:21005-5131
Mailing Address - Country:US
Mailing Address - Phone:410-278-1961
Mailing Address - Fax:410-278-7330
Practice Address - Street 1:2501 OAKINGTON ST
Practice Address - Street 2:KIRK US ARMY HEALTH CLINIC
Practice Address - City:ABERDEEN PROVING GROUND
Practice Address - State:MD
Practice Address - Zip Code:21005-5131
Practice Address - Country:US
Practice Address - Phone:410-278-1961
Practice Address - Fax:410-278-7330
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI71929-030163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health