person
Mrs. Kelly Martin Wilson, PA-C
Medical Physician Assistant in Spartanburg, South Carolina
NPI 1396933461

Kelly Martin Wilson is a Medical Physician Assistant based in Spartanburg, SC and is specialized in Medical. Kelly Martin Wilson practices in Spartanburg, SC and has the professional credentials of PA-C. The NPI Number for Kelly Martin Wilson is 1396933461 and holds a License No. 1237 (South Carolina).

The current practice location address for Kelly Martin Wilson is 1330 Boiling Springs Rd, Spartanburg, SC and can be reached out via phone at 864-582-6396.

Location: 1330 Boiling Springs Rd, Spartanburg, SC, 29303-4201
person
Provider Profile Details
NPI Number
1396933461
Provider Name
Kelly Martin Wilson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1330 Boiling Springs Rd, Spartanburg, SC, 29303-4201
Phone Number
864-582-6396
Fax Number
Provider Enumeration Date
10/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0886PA 05 SC
institution
Provider Business Practice Location Address Details
Address
1330 Boiling Springs Rd
City
State
Zip
29303-4201
Phone Number
864-582-6396
Fax Number
person
Provider Business Mailing Address Details
Address
1330 Boiling Springs Rd
City
State
Zip
29303-4201
Phone Number
864-582-6396
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1237 (South Carolina)
Definition
Definition to come...
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