Individual
DR. TIMOTHY ALLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8930 EVANSTON AVE, KANSAS CITY, MO 64138-4732
(816) 617-1398
(816) 832-8236
Mailing address
8930 EVANSTON AVE, KANSAS CITY, MO 64138-4732
(816) 617-1398
(816) 832-8236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R3A87
MO
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
R3A87
MO
Other
Enumeration date
06/26/2007
Last updated
09/26/2023
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