Individual
KALMECE TEHRAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 BROADWAY ST STE 201, PADUCAH, KY 42001-0713
(270) 349-3546
Mailing address
425 BROADWAY ST STE 201, PADUCAH, KY 42001-0713
(270) 349-3546
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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