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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH WAYNE WILSON, RPH

Active

MR. KENNETH WAYNE WILSON, RPH is a Ambulatory Care Pharmacist healthcare provider located in MARKSVILLE, Louisiana. NPI 1962121103 is currently active in the NPPES registry. Verify at CMS.

Ambulatory Care Pharmacist · MARKSVILLE, LA

Registration Details

NPI Number
1962121103
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2022 (3.9814169750016 yrs)
Last Updated
Aug 23, 2022
License
13681 (LA)

Practice Information

Address
134 LA RUE MEDECINE ST
MARKSVILLE, LA, 713512637
Browse LA providers · Browse ZIP 71351
Phone
3182538747
Primary Specialty
Ambulatory Care Pharmacist
1835P2201X
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.