Derek Wilson, PA-C

NPI 1417034026 · on the registry since 2006

Practice

Address: 800 W Laurel St
Independence, KS 67301
Phone: (620) 332-3280
Fax: (620) 332-3281
Organisation at this address: Mercy Kansas Communities Inc
Mercy Kansas Communities Inc
Jane Phillips Memorial Medical Center, Inc
Community Health Center Of Southeast Kansas, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas