Individual
JULIE RENEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
1203 RIDGE RD, ATCHISON, KS 66002-1608
(913) 426-2222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
37605
KS
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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