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
State
Idaho
ZIP Code
83530-1345
Phone
(208) 983-1700

Specialties & Taxonomy Codes

Specialty
Family Medicine

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