Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEREK EDWARD WILSON, PA-C
ActiveMR. DEREK EDWARD WILSON, PA-C is a Medical Physician Assistant healthcare provider located in INDEPENDENCE, Kansas. NPI 1417034026 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · INDEPENDENCE, KS
Registration Details
- NPI Number
- 1417034026
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.824127873583 yrs)
- Last Updated
- Jan 14, 2010
- License
-
1501140 (KS)
Practice Information
- Address
-
800 W LAUREL STINDEPENDENCE, KS, 673013211Browse KS providers · Browse ZIP 67301
- Phone
- 6203323280
- Fax
- 6203323281
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in INDEPENDENCE, KS
| Name | Credential | NPI |
|---|---|---|
| MALLORY E. HARRIS | PA | 1033519830 |
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.