Individual
KEYVONIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMY
Contact information
Practice address
11575 W THEO TREKR WAY # 18, MILWAUKEE, WI 53214-1139
(262) 450-3615
Mailing address
11575 W THEO TREKR WAY # 18, MILWAUKEE, WI 53214-1139
(262) 450-3615
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
NPCN-169866402
WI
Other
Enumeration date
03/25/2024
Last updated
03/24/2026
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