Search › Mississippi › 363LF0000X
Kenyatta Wilson, NP-C
NPI 1457633034 · on the registry since 2011
Practice
- Address
- 2200 Highway 61 N
Vicksburg, MS 39183 - Phone
- (601) 883-3340
- Organisation at this address
- Vicksburg Clinic Llc
La Miss Diabetic Shoes
Jackson Oncology Associates, Pllc
Hanger Prosthetics & Orthotics, Inc.
Central Mississippi Medical Clinic PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 106 Clinton Pkwy, Clinton, MS
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-29
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 Mississippi