Kevin Wilson, PA-C
NPI #1063424984 in Belleville, Illinois
Provider Information
- NPI Number
- 1063424984
- Entity Type
- Individual
- Name
- Kevin Wilson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 12, 2006
- Last Updated
- Mar 21, 2016
Practice Location
- Address
- 130 LINCOLN PLACE CT
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-5884
- Phone
- (618) 257-2029
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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