Individual
DR. ALAN KIRK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
778 SCOGIN DR STE 140, MONTICELLO, AR 71655-5729
(870) 460-3515
(870) 460-3529
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(870) 460-3515
(870) 460-3529
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E1594
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020036876
MEDICARE RAILROAD
AR
05
—
132894001
—
AR
01
—
180320000
QUALCHOICE
AR
01
—
5K637
BCBS
AR
Enumeration date
10/12/2005
Last updated
07/10/2025
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