KENNETH CARL WILSON

LOUISVILLE, KY
NPI1710042940
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  24205)
Enumeration Date2006-12-27
Last Update Date2007-07-08
Business Address
-- KENNETH CARL WILSON MD
234 E GRAY ST SUITE 364
LOUISVILLE, KY 40202-1900
Phone number: 502-629-5578
Mailing Address
-- KENNETH CARL WILSON MD
PO BOX 35070
LOUISVILLE, KY 40232-5070
Phone number: 502-629-5578