Kevin Wilson's National Provider Identifier (NPI) Details
Kevin Wilson, LPC
NPI: 1437488749
Enumeration Date: 2009-12-15
Last updated: 2014-11-05
Sole Proprietor: YES
Status: active
Postal Address: 1819 N DOVER ST, INDEPENDENCE, MO
Phone: 816-796-9875
Primary Practice Address: 1819 N DOVER ST, INDEPENDENCE, MO
Practice's phone: 816-796-9875