Individual
KIRBY W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1991
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005526
KAISER-COMMERCIAL NUMBER
—
05
—
73658022
—
CO
Enumeration date
02/16/2007
Last updated
05/06/2021
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