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1710042940
KENNETH CARL WILSON
LOUISVILLE, KY
NPI
1710042940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 24205)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
-- KENNETH CARL WILSON MD
234 E GRAY ST SUITE 364
LOUISVILLE, KY 40202-1900
Phone number: 502-629-5578
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Mailing Address
-- KENNETH CARL WILSON MD
PO BOX 35070
LOUISVILLE, KY 40232-5070
Phone number: 502-629-5578
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