Organization
WILSON MEDICAL STAFFING PLLC
Active
Other names
Wilson Medical Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT WILSON MD (MEMBER/MANAGER)
(270) 558-5456
Entity
Organization
Contact information
Practice address
2603 KENTUCKY AVE STE 305, PADUCAH, KY 42003-3814
(270) 558-5456
(270) 558-5471
Mailing address
PO BOX 9485, PADUCAH, KY 42002-9485
(270) 558-5456
(270) 558-5471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/13/2019
Last updated
01/12/2021
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