Kristin L Wilson, PA-C

NPI #1124240098 in Smyrna, Tennessee

Provider Information

NPI Number: 1124240098
Entity Type: Individual
Name: Kristin L Wilson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 115 ENON SPRINGS ROAD EAST
City: Smyrna
State: Tennessee
ZIP Code: 37167
Phone: (615) 459-0005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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