Individual
DR. RICHARD SCOTT WILSON
Active
Individual
DR. RICHARD SCOTT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
41142
KY
207R00000X
Internal Medicine Physician
Primary
41142
KY
207R00000X
Internal Medicine Physician
654-L
MS
208M00000X
Hospitalist Physician
41142
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100050700
—
KY
01
—
CB8326
RAILROAD MEDICARE GROUP
—
01
—
P00612564
RAILROAD MEDICARE INDIVIDUAL
—
Enumeration date
06/27/2007
Last updated
10/07/2019
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