Individual
JAIME LOUISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5075
Mailing address
2101 N NEW ST, KIRKSVILLE, MO 63501-2125
(319) 830-1866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2025028788
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
IA
Other
Enumeration date
03/29/2023
Last updated
10/03/2025
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