DR. Kyle Jonathan Wilson, DMD

NPI #1649919846 in Fort Leavenworth, Kansas

Provider Information

NPI Number: 1649919846
Entity Type: Individual
Name: DR. Kyle Jonathan Wilson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 3, 2022
Last Updated: Mar 28, 2023

Practice Location

Address: 520 POPE AVE
City: Fort Leavenworth
State: Kansas
ZIP Code: 66027-2332
Phone: (913) 684-5516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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