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Kavon Wilson
NPI 1992434245 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3807 St. Barnabas Rd. #104
Suitland, MD 20746 - Phone
- (202) 394-4579
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-09
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 Maryland