KIM WILSON

BOISE, ID
NPI1073982245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-09-17
Last Update Date2023-04-28
Business Address
KIM WILSON PA-C
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-8855
Mailing Address
KIM WILSON PA-C
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-954-8070