Individual
DR. TIMOTHY C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1760 NICHOLASVILLE RD STE 101, LEXINGTON, KY 40503-1410
(859) 899-7950
(859) 260-5150
Mailing address
230 LEXINGTON GREEN CIR, STE 600, LEXINGTON, KY 40503-3326
(859) 971-4695
(859) 971-4604
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
37293
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65943755
—
KY
Enumeration date
04/19/2006
Last updated
12/12/2018
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