Individual
ALISHA CORA TARTER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 MEDPARK SQUARE, SUITE 1, SOMERSET, KY 42503-3812
(606) 451-0485
(606) 451-0229
Mailing address
PO BOX 719, SOMERSET, KY 42502-0719
(606) 451-0485
(606) 451-0229
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1163
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1163
KY LICENSE
KY
Enumeration date
01/09/2009
Last updated
01/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us