Provider Demographics
NPI:1972899623
Name:WILKINS, KATHRYN SPRING (BA - PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SPRING
Last Name:WILKINS
Suffix:
Gender:F
Credentials:BA - PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 CHANCERY LN
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-7725
Mailing Address - Country:US
Mailing Address - Phone:903-253-8272
Mailing Address - Fax:
Practice Address - Street 1:4401 CHANCERY LN
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-7725
Practice Address - Country:US
Practice Address - Phone:903-253-8272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No171M00000XOther Service ProvidersCase Manager/Care Coordinator