Kelby Jon Wilson, MD
NPI #1164872115 in Grangeville, Idaho
Provider Information
- NPI Number
- 1164872115
- Entity Type
- Individual
- Name
- Kelby Jon Wilson, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jun 20, 2016
- Last Updated
- Sep 30, 2020
Practice Location
- Address
- 607 W MAIN ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-1345
- Phone
- (208) 983-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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