KURTIS WAYNE WILSON DO NPI 1518536580

NPI Information

NPI: 1518536580
Provider Name: KURTIS WAYNE WILSON, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
295 WHARTON LN NE
NORTON, VA
ZIP 24273
Phone: (276) 679-7457
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Kurtis Wayne Wilson, DO is a student in an organized health care education training program in Norton, VA. The provider is 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. Kurtis Wayne Wilson, DO NPI is 1518536580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

295 WHARTON LN NE
NORTON, VA
ZIP 24273-541
Phone: (276) 679-7457

The enumeration date for this NPI number is 6/23/2021 and was last updated on 6/23/2021.

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	390200000X	Student in an Organized Health Care Education/Training Program				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3810-03-0390	OTHER	INDIANA	DRIVER'S LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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