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Kendall Wilson, MD
Student in an Organized Health Care Education/Training Program in Greenwood, South Carolina
NPI 1578247086

Kendall Wilson is a Student in an Organized Health Care Education/Training Program based in Greenwood, SC. Kendall Wilson practices in Greenwood, SC and has the professional credentials of MD. The NPI Number for Kendall Wilson is 1578247086 and holds a License No. LL89836 (South Carolina).

The current practice location address for Kendall Wilson is 155 Academy Ave, Greenwood, SC and can be reached out via phone at 864-725-4865.

Location: 155 Academy Ave, Greenwood, SC, 29646-3869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578247086
Provider Name
Kendall Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
155 Academy Ave, Greenwood, SC, 29646-3869
Phone Number
864-725-4865
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
155 Academy Ave
City
Greenwood
State
South Carolina
Zip
29646-3869
Phone Number
864-725-4865
Fax Number
person
Provider Business Mailing Address Details
Address
155 Academy Ave
City
Greenwood
State
South Carolina
Zip
29646-3869
Phone Number
864-725-4865
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.
LL89836 (South Carolina)
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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