Individual
MR. JAMES KENNETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913
(501) 622-1930
(501) 622-1925
Mailing address
3810 CENTRAL AVE, SUITE H, HOT SPRINGS, AR 71913
(501) 525-5840
(501) 525-5840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R67079
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
CTP000074
AR
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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