Individual provider · Type 1 NPI

Kelly Martin Wilson, PA-C

Medical Physician Assistant · Spartanburg, SC

NPI number 1396933461 Active

Practice location

1330 Boiling Springs Rd, Suite 1600
Spartanburg, SC 29303-4201

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1237 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1396933461

Kelly Martin Wilson, PA-C's National Provider Identifier is 1396933461, issued on Oct 13, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Spartanburg, SC. The record was last updated on Nov 9, 2012.