Peter Kithene Wilson | Seattle, WA • PECOS Search

Peter Kithene Wilson

Counselor

Behavioral Health & Social Service Providers

1700 Airport Way S, Seattle, WA 98134-1618

(206) 223-3644 (206) 356-4120

PECOS Enrollment

Based on the most recent information from CMS, provider Peter Kithene Wilson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1386254951
Provider Type
Individual
Full Name
Wilson, Peter Kithene
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/7/2020
Last Updated
8/7/2020

Contact Information

Practice Location

1700 Airport Way S, Seattle, WA 98134-1618

Unlisted Fax

Mailing Location

546 NE 103rd St, Seattle, WA 98125-7422

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer