Individual
KAYLA DENEEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1872 ST LUKES BLVD, EASTON, PA 18045-5669
(484) 526-1000
Mailing address
1700 ST LUKES BLVD, EASTON, PA 18045-5670
(484) 526-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT232176
PA
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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