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DR. KEVIN WILLIAM WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 OLD GATESBURG RD STE 200, STATE COLLEGE, PA 16803-2276
(814) 237-4321
(814) 235-0484
Mailing address
1700 OLD GATESBURG RD STE 200, STATE COLLEGE, PA 16803-2276
(814) 237-4321
(814) 235-0484

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD468320
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD468320
PA

Other

Enumeration date
06/15/2007
Last updated
07/29/2019
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