| Doctor Name: | MS. KATHLEEN J WILTSIE |
| NPI Number: | 1861483273 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 71929-030 |
| Business Practice Address: | 2501 Oakington St Kirk Us Army Health Clinic Aberdeen Proving Ground, MD - 210055131 |
| Business Phone Number: | 4102781961 |
| Business Fax Number: | 4102787330 |
| Mailing Address: | 2501 Oakington St, Kirk Us Army Health Clinic ABERDEEN PROVING GROUND |
| State: | MD |
| Postal Code: | 210055131 |
| Phone Number: | 4102781961 |
| Fax Number: | 4102787330 |
| NPI Enumeration Date: | 11/03/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 71929-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |