Individual provider · Type 1 NPI

Kyle David Wilson, MD, PhD

Student in an Organized Health Care Education/Training Program · Charleston, WV

NPI number 1215499488 Active

Practice location

3110 Maccorkle Ave SE
Charleston, WV 25304-1210

Call (304) 388-7170 Map

Fax (304) 388-6597

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215499488

Kyle David Wilson, MD, PhD's National Provider Identifier is 1215499488, issued on Apr 4, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, WV. The record was last updated on Apr 4, 2019.