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Contact Information

KAREN E WILSON, M.S., R.D., PA-C
8890 N UNION BLVD STE 220
COLORADO SPRINGS, CO80920-2701
 Phone: 719-574-9191
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KAREN E WILSON · (Female)

NPI Number 1225175516
Status Active
Credentials M.S., R.D., PA-C
Entity Individual
Enumeration date 01/30/2007
Last updated 02/16/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CO License # PA.0004345
  • CO Medicaid 53878841
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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