Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN WILSON, PA-C
ActiveKEVIN WILSON, PA-C is a Medical Physician Assistant healthcare provider located in BELLEVILLE, Illinois. NPI 1063424984 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BELLEVILLE, IL
Registration Details
- NPI Number
- 1063424984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2006 (20.041909910851 yrs)
- Last Updated
- Mar 21, 2016
- License
-
085-000488 (IL)
Practice Information
- Address
-
130 LINCOLN PLACE CTBELLEVILLE, IL, 622215884Browse IL providers · Browse ZIP 62221
- Phone
- 6182572029
- Fax
- 6182355371
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| JEAN SCHUMAKER | PAC | 1134129109 |
| MS. JANET P. RUDDERHAM | PA-C | 1366433286 |
| KATHLEEN KEITHLEY | PA-C | 1760457352 |
| COURTNEY DORAN I | PA | 1306882386 |
| ELIZABETH CUE CYRUS | P.A. | 1609804962 |
| MARC G BOYER | PA-C | 1912090838 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.