KEVIN WILSON

BELLEVILLE, IL
NPI1063424984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085-000488)
Enumeration Date2006-08-12
Last Update Date2016-03-21
Business Address
-- KEVIN WILSON PA-C
130 LINCOLN PLACE CT
BELLEVILLE, IL 62221-5884
Phone number: 618-257-2029
Mailing Address
-- KEVIN WILSON PA-C
4500 MEMORIAL DRIVE MEMORIAL HOSPITAL CREDENTIALING DEPARTMENT
BELLEVILLE, IL 62226
Phone number: 618-257-4644
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