Individual
DR. JOHN KEDDY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 WOODBURN RD, ANNANDALE, VA 22003-1202
(703) 205-9452
(703) 208-0714
Mailing address
3300 WOODBURN RD, ANNANDALE, VA 22003-1202
(703) 205-9452
(703) 208-0714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101232930
VA
Other
Enumeration date
08/21/2006
Last updated
02/13/2013
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