DR. KATHLYN VALLEAU WILDE M.D.
NPI 1164683967
Pediatrics in Lewiston, ME

Q: What is Kathlyn Wilde's NPI number?

The NPI number for Kathlyn Wilde is 1164683967. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Q: What is Kathlyn Wilde's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kathlyn Wilde was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2008

33 MOLLISON WAY, LEWISTON, ME 04240(207) 784-5784(207) 783-9268 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Kathlyn Valleau Wilde M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLYN VALLEAU WILDE M.D. (NPI 1164683967) is an individual pediatrics provider in Lewiston, Maine, licensed in Maine (MD25564) and active in the NPI registry since June 2008. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164683967

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KATHLYN VALLEAU WILDECredential: M.D.

Location Address33 MOLLISON WAYLewiston, ME 04240-5805

Mailing Address33 Mollison WayLewiston, ME 04240-5805 · (207) 784-5784 · Fax (207) 783-9268

Phone(207) 784-5784

Fax(207) 783-9268

Sole ProprietorNo

Enumeration DateJune 24, 2008

Last NPPES UpdateFebruary 5, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1164683967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in ME · MD25564✔ Licensed in VA · 0101261046

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

33 MOLLISON WAY, Lewiston, ME 04240

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Secondary Practice Locations 2

Location 18901 Wisconsin AveBethesda, MD 20889-0001 · Phone (434) 409-8249

Location 2620 John Paul Jones Cir Dept OfPortsmouth, VA 23708-2111 · Phone (757) 953-7716 · Fax (757) 953-0858

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL M DORSKY PA-C

Physician Assistant