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Individual

DR. KEVIN G WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
224 HOWARD AVE, MULLENS, WV 25882-1421
(304) 294-5447
(304) 294-5714
Mailing address
PO BOX 788, MULLENS, WV 25882-0788
(304) 294-5447
(304) 294-5714

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006379
WV

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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