KATELYN WILSON

INDIANAPOLIS, IN
NPI1487904595
Former NameKATELYN FABYAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001438A)
Enumeration Date2012-09-17
Last Update Date2014-02-26
Business Address
-- KATELYN WILSON PA-C
550 UNIVERSITY BLVD UH 1501
INDIANAPOLIS, IN 46202-5149
Phone number: 317-948-1310
Mailing Address
-- KATELYN WILSON PA-C
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: