Individual
BROOKE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16538 W 159TH TER, OLATHE, KS 66062-3924
(913) 445-8660
Mailing address
16538 W 159TH TER, OLATHE, KS 66062-3924
(913) 445-8660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025039987
MO
Other
Enumeration date
01/25/2024
Last updated
04/10/2026
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