Individual
KARLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 200-3126
Mailing address
2332 S LUSTER AVE, SPRINGFIELD, MO 65804-3346
(417) 200-3126
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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