Individual
KELSEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9926
Mailing address
88 MDG/SGHJ, 4881 SUGAR MAPLE DRIVE, WRIGTH PATTERSON AFB, OH 45433
(937) 257-9926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.014586
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2017
Last updated
07/26/2023
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