Individual
KARY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-3000
Mailing address
1053 BLACKMON RD, LEESVILLE, LA 71446-5954
(337) 208-2384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
320673
LA
Other
Enumeration date
08/19/2019
Last updated
04/28/2023
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