Individual
MR. SEAN RONALD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
160 PEDRO WAY, WINCHESTER, KY 40391
(859) 745-2152
Mailing address
138 SUNSET HEIGHTS, WINCHESTER, KY 40391
(859) 200-6183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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