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
ZIP Code
62221-5884
Phone
(618) 257-2029

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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