Wilson, Keadrea

Wilson, Keadrea is an individual health care provider with primary practice located at 1407 Union Ave Ste 700 , Memphis TN 38104-3641. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Wilson, Keadrea can be contacted via phone (214) 456-2735.

Contact Information

Primary practice address
1407 Union Ave Ste 700 Memphis TN 38104-3641
Phone: (214) 456-2735
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0000057291 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1912392572
LBN Legal business name Wilson, Keadrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2015
Last updated Jul 15th, 2021 - about 4 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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