Individual
DAVID B WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8500
(913) 588-9600
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-19259
KS
207RC0000X
Cardiovascular Disease Physician
2004017284
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100201750C
—
KS
05
—
100201750D
—
KS
01
—
100501041
BCBS KC
MO
01
—
100859
BCBS KS OUTREACH CLINICS
KS
05
—
202109708
—
MO
Enumeration date
08/17/2006
Last updated
01/15/2019
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