Individual
ANTHONY WAYNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
194 MADISON SQUARE DR STE 1, MADISONVILLE, KY 42431-2794
(270) 821-9451
Mailing address
194 MADISON SQUARE DR STE 1, MADISONVILLE, KY 42431-2794
(270) 821-9451
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
17001514A
IN
237700000X
Hearing Instrument Specialist
Primary
246960
KY
Other
Enumeration date
02/12/2019
Last updated
01/28/2021
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