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Kurtis Wayne Wilson, DO
Student in an Organized Health Care Education/Training Program in Norton, Virginia
NPI 1518536580

Kurtis Wayne Wilson is a Student in an Organized Health Care Education/Training Program based in Lebanon, VA. Kurtis Wayne Wilson practices in Norton, VA and has the professional credentials of DO. The NPI Number for Kurtis Wayne Wilson is 1518536580 and holds a License No. (Virginia).

The current practice location address for Kurtis Wayne Wilson is 295 Wharton Ln Ne, Norton, VA and can be reached out via phone at 276-679-7457.

Location: 295 Wharton Ln Ne, Norton, VA, 46052-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518536580
Provider Name
Kurtis Wayne Wilson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
295 Wharton Ln Ne, Norton, VA, 46052-1266
Phone Number
276-679-7457
Fax Number
Provider Enumeration Date
06/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810-03-0390 01 IN DRIVER'S LICENSE
institution
Provider Business Practice Location Address Details
Address
295 Wharton Ln Ne
City
Norton
State
Virginia
Zip
24273-1541
Phone Number
276-679-7457
Fax Number
person
Provider Business Mailing Address Details
Address
295 Wharton Ln Ne
City
Norton
State
Virginia
Zip
24273-1541
Phone Number
276-679-7457
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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