Individual
KERRY WILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5796 NASHVILLE RD, BOWLING GREEN, KY 42101-7546
(702) 781-6477
(270) 781-6479
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010374
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100420870
—
KY
Enumeration date
08/13/2016
Last updated
06/12/2019
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