Individual
REBECCA J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2411 HOLMES ST, M1-210, KANSAS CITY, MO 64108-2741
(816) 235-6626
(816) 235-6629
Mailing address
12709 OAKMONT DR, KANSAS CITY, MO 64145-1140
(816) 941-0528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011010014
MO
Other
Enumeration date
12/19/2007
Last updated
08/03/2011
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