Individual
KELVIN TEKNAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
20 ELLSWORTH ST, MARTINSVILLE, VA 24112-2812
(276) 632-0035
Mailing address
2264 YORK DR APT 302, WOODBRIDGE, VA 22191-5718
(276) 632-0035
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024194965
VA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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