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Individual
DR. HEATHER LYNN WILSON
Active
Individual
DR. HEATHER LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
38951
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6408377
—
KY
01
—
P00983047
MEDICARE RR
KY
Enumeration date
04/13/2006
Last updated
07/24/2019
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