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Individual

DR. JOHNNA MCKELVEY WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-3880
(812) 842-3916
Mailing address
PO BOX 632281, CINCINNATI, OH 45263-2281
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036148541
IL
208000000X
Pediatrics Physician
125.068895
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
02007225A
IN

Other

Enumeration date
03/25/2016
Last updated
09/08/2025
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