Individual
SARAH H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4421 EASTGATE BLVD STE 300, CINCINNATI, OH 45245-4501
(513) 752-8000
(513) 752-1078
Mailing address
800 ROSE ST, MN602, LEXINGTON, KY 40536-0294
(859) 323-6047
(859) 257-3873
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50005372RX
OH
363AM0700X
Medical Physician Assistant
TC441
KY
Other
Enumeration date
11/04/2015
Last updated
01/08/2018
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