Individual
KAY G WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP
Contact information
Practice address
3470 BLAZER PKWY STE 300, LEXINGTON, KY 40509-1887
(859) 278-1316
(859) 276-3847
Mailing address
2416 REGENCY RD, LEXINGTON, KY 40503-2954
(859) 278-1316
(859) 278-1316
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002751
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321070
BCBS HHC
—
01
—
1199206
CHA HHC
—
05
—
78006301
—
KY
Enumeration date
03/10/2006
Last updated
01/13/2022
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