Individual
KEITH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
119 MEMORIAL DR, FRANKLIN, KY 42134-2752
(270) 586-9533
(270) 586-0123
Mailing address
PO BOX 2807, 119 MEMORIAL DRIVE, FRANKLIN, KY 42135-2807
(270) 586-9533
(270) 586-0123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3387P
KY
Other
Enumeration date
02/26/2007
Last updated
10/21/2009
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