Kylan Wilson, CERTIFIED PEDORTHIST
NPI 1174934186 · on the registry since 2014
Practice
- Address
- 110 E Twohig Ave
San Angelo, TX 76903 - Phone
- (325) 658-1511
- Fax
- (325) 481-2166
- Organisation at this address
- Shannon Clinic
Shannon ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Orthotist
222Z00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas