Individual provider · Type 1 NPI

Alex Wilson

Other Technician · Kennett, MO

NPI number 1104294073 Active

Practice location

1109 Jones St
Kennett, MO 63857-3824

Call (573) 888-6454 Map

Fax (573) 888-2369

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1104294073

Alex Wilson's National Provider Identifier is 1104294073, issued on Sep 9, 2015. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Kennett, MO. The record was last updated on Sep 9, 2015.