KELLY L WILSON

SACRAMENTO, CA
NPI1124318027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA21542)
Enumeration Date2011-04-12
Last Update Date2017-01-18
Business Address
-- KELLY L WILSON PA-C
5030 J ST STE 201
SACRAMENTO, CA 95819-3800
Phone number: 916-455-1155
Mailing Address
-- KELLY L WILSON PA-C
5030 J ST STE 201
SACRAMENTO, CA 95819-3800
Phone number: 916-455-1155