Individual
KENEISHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19949 FENTON ST, DETROIT, MI 48219-1069
(248) 918-5188
Mailing address
19949 FENTON ST, DETROIT, MI 48219-1069
(248) 918-5188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703129149
MI
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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