Individual
KYLE KELII WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3645
(717) 851-2450
(717) 851-3469
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2450
(717) 851-3469
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
FW1144776
PA
207P00000X
Emergency Medicine Physician
Primary
MD477700
PA
207P00000X
Emergency Medicine Physician
MT217413
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1569572
UW STUDENT ID
WA
Enumeration date
05/31/2017
Last updated
06/19/2023
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