Individual
REID H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PLEASANT VALLEY RD, SUITE 500B, OWENSBORO, KY 42303-9774
(270) 417-7940
(270) 417-7949
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
41989
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100046870
—
KY
Enumeration date
04/11/2008
Last updated
04/20/2017
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