Individual
DAREN C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3679
(816) 932-9089
Mailing address
901 E 104TH ST, MS 400N, KANSAS CITY, MO 64131-4517
(816) 502-8756
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2016019973
MO
Other
Enumeration date
06/07/2012
Last updated
07/22/2016
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