Tyrolia Wilson

NPI 1588194450 · on the registry since 2017

Practice

Address: 1121 N 5th St
Kansas City, KS 66101
Phone: (913) 831-2820
Fax: (913) 831-0262
Organisation at this address: Soulmine Llc
Antioch Home Health, Inc
Care In Motion Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-06-14

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