Individual
DR. BENJAMIN RAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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