Individual
JOSEPH LANE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7600
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014-01389
NC
207Q00000X
Family Medicine Physician
Primary
2022025616
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187EV
BCBS NC
NC
05
—
1902198799
—
NC
Enumeration date
05/11/2011
Last updated
07/13/2022
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