Individual provider · Type 1 NPI

Kelly L. Wilson, PA-C

Medical Physician Assistant · Sacramento, CA

NPI number 1124318027 Active

About NPI 1124318027

Kelly L. Wilson, PA-C's National Provider Identifier is 1124318027, issued on Apr 12, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sacramento, CA. The record was last updated on Jan 18, 2017.