Shenelle Wilson

NPI #1215283775 in Kingsport, Tennessee

Provider Information

NPI Number: 1215283775
Entity Type: Individual
Name: Shenelle Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Enumeration Date: Aug 1, 2012
Last Updated: Feb 6, 2026

Practice Location

Address: 2204 PAVILION DR STE 310
City: Kingsport
State: Tennessee
ZIP Code: 37660-4653
Phone: (423) 246-4155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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