Individual
MR. KIRK B WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.C.M.T.B.
Contact information
Practice address
2900 BONIFACE PKWY, SUITE 220, ANCHORAGE, AK 99504-3132
(907) 320-0306
Mailing address
2900 BONIFACE PKWY, SUITE 220, ANCHORAGE, AK 99504-3132
(907) 320-0306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
03/11/2016
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