Individual
BENJAMIN DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
9548 WALMER ST, OVERLAND PARK, KS 66212-1552
(913) 490-9442
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
66428
WV
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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