Individual
MR. KYLE C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
221 BROAD ST, SUITE 201, ONEIDA, NY 13421-2178
(315) 363-5421
Mailing address
221 BROAD ST, SUITE 201, ONEIDA, NY 13421-2178
(315) 363-5421
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002386
NY
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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