Individual
SAVANNAH LEA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 694-4194
(620) 694-2128
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
(206) 944-1806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02130
KS
Other
Enumeration date
10/03/2018
Last updated
08/23/2021
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