MS. Kendra Nicole Wilson, PA-C

NPI #1689142259 in Oxford, Florida

Provider Information

NPI Number: 1689142259
Entity Type: Individual
Name: MS. Kendra Nicole Wilson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 12, 2018
Last Updated: Jun 20, 2019

Practice Location

Address: 10840 N US HIGHWAY 301
City: Oxford
State: Florida
ZIP Code: 34484
Phone: (352) 445-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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