Individual
MR. BILLY BRIAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 598-4080
Mailing address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 598-4080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4059643
KY
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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