Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WILSON, IDMT
ActiveMARK WILSON, IDMT is a Independent Duty Medical Technician healthcare provider located in LOUISVILLE, Kentucky. NPI 1518313089 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · LOUISVILLE, KY
Registration Details
- NPI Number
- 1518313089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2016 (10.225695438699 yrs)
- Last Updated
- May 13, 2016
Practice Information
- Address
-
1101 GRADE LN123 SPECIAL TACTICSLOUISVILLE, KY, 402132673Browse KY providers · Browse ZIP 40213
- Phone
- 5024134836
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| PAUL K VOUGHT | IDMT | 1497001044 |
| TIMOTHY JAMES KNAPP | — | 1003552324 |
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.