Wilson, Dianne

Wilson, Dianne is an individual health care provider with primary practice located at 800 Rose St , Lexington KY 40536-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Wilson, Dianne can be contacted via phone (859) 323-5425.

Contact Information

Primary practice address
800 Rose St Lexington KY 40536-0001
Phone: (859) 323-5425
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 19575 Kentucky

Profile Details

NPI number 1760448484
LBN Legal business name Wilson, Dianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Apr 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760448484 NPPES
Kentucky MEDICAID 64195753

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