Individual
MATTHEW DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD. 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, KANSAS CITY, KS 66160-0001
(913) 588-6005
(913) 588-3877
Mailing address
3901 RAINBOW BLVD. 4070 DELP, MS 4017, KANSAS UNIVERSITY PHYSICIANS, INC., KANSAS CITY, KS 66160-0001
(913) 588-2501
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0440000
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
04/14/2014
Last updated
07/21/2022
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