Individual
MRS. MEGAN LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
615 W 39TH ST, KEARNEY, NE 68845-8045
(308) 865-2277
Mailing address
615 W 39TH ST, KEARNEY, NE 68845-8045
(308) 865-2277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1787
NE
Other
Enumeration date
03/05/2014
Last updated
05/25/2016
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