Individual
DR. BENJAMIN RAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 S LIMESTONE, ROOM K403, LEXINGTON, KY 40536-0001
(859) 218-3044
Mailing address
740 S LIMESTONE, ROOM K403, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R3658
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
53472
KY
Other
Enumeration date
07/19/2014
Last updated
06/10/2020
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