person
Mr. Derek Edward Wilson, PA-C
Medical Physician Assistant in Independence, Kansas
NPI 1417034026

Derek Edward Wilson is a Medical Physician Assistant based in Independence, KS and is specialized in Medical. Derek Edward Wilson practices in Independence, KS and has the professional credentials of PA-C. The NPI Number for Derek Edward Wilson is 1417034026 and holds a License No. 1501140 (Kansas).

The current practice location address for Derek Edward Wilson is 800 W Laurel St, Independence, KS and can be reached out via phone at 620-332-3280 and via fax at 620-332-3281. You can also correspond with Derek Edward Wilson through the mailing address at PO BOX 845, INDEPENDENCE, KS - 67301-0845 (mailing address contact number: 620-332-3280).

Location: 800 W Laurel St, Independence, KS, 67301-0845
person
Provider Profile Details
NPI Number
1417034026
Provider Name
Derek Edward Wilson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
800 W Laurel St, Independence, KS, 67301-0845
Phone Number
620-332-3280
Fax Number
620-332-3281
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
800 W Laurel St
City
State
Zip
67301-3211
Phone Number
620-332-3280
Fax Number
620-332-3281
person
Provider Business Mailing Address Details
Address
800 W Laurel St
City
State
Zip
67301-3211
Phone Number
620-332-3280
Fax Number
620-332-3281
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1501140 (Kansas)
Definition
Definition to come...
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