ALEXANDRIA LAUREN WILSON PA NPI 1679050777

NPI Information

NPI: 1679050777
Provider Name: ALEXANDRIA LAUREN WILSON, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
793 EASTERN BYP STE 101
RICHMOND, KY
ZIP 40475
Phone: (859) 626-8645
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Alexandria Lauren Wilson, PA is a surgical physician assistant in Richmond, KY with 6 years of experience. Alexandria Lauren Wilson, PA NPI is 1679050777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

793 EASTERN BYP STE 101
RICHMOND, KY
ZIP 40475-425
Phone: (859) 626-8645
Fax: (859) 626-8661

The NPI 1679050777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2018 and was last updated on 4/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA2441	KENTUCKY	No
2	363AS0400X	Physician Assistant	Surgical	PA2441	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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