KELLY WILSON, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1124318027
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA21542 (CA) |
Frequently Asked Questions
NPI 1124318027 is the National Provider Identifier for KELLY WILSON, PA-C, a Physician Assistant - Medical provider located in Sacramento, CA. This NPI was enumerated on April 12, 2011.
KELLY WILSON, PA-C practices at 5030 J ST, STE 201, Sacramento, CA 95819.
Quick Facts
- NPI
- 1124318027
- Type
- Individual
- Enumerated
- Apr 12, 2011
- Last Updated
- Jan 18, 2017
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