Individual
KAILEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3171 NE CARNEGIE DR STE A, LEES SUMMIT, MO 64064-3226
(816) 525-2800
(816) 525-4077
Mailing address
3171 NE CARNEGIE DR STE A, LEES SUMMIT, MO 64064-3226
(816) 525-2800
(816) 525-4077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014018817
MO
Other
Enumeration date
07/02/2014
Last updated
05/08/2019
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