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Individual
KELLY WILSON
Active
Individual
KELLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
391332
OH
163W00000X
Registered Nurse
635320
NY
176B00000X
Midwife
002327
NY
176B00000X
Midwife
11035437
FL
176B00000X
Midwife
1177442
TX
176B00000X
Midwife
225304
OK
176B00000X
Midwife
GAACNM002777
GA
367A00000X
Advanced Practice Midwife
Primary
—
OH
Other
Enumeration date
11/23/2011
Last updated
01/02/2026
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