Individual
DAVID MATTHEW WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
220 W 2ND ST APT 2114, KANSAS CITY, MO 64105-2172
(412) 804-8574
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN734236
PA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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