Wilson, Keith Alan

Wilson, Keith Alan is an individual health care provider with primary practice located at 12550 Hesperia Road Suite100, Victorville CA 92395-0000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Keith Alan can be contacted via phone (760) 241-6666.

Contact Information

Primary practice address
12550 Hesperia Road Suite100 Victorville CA 92395-0000
Phone: (760) 241-6666
Fax: (760) 241-7575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18722 California

Profile Details

NPI number 1841470507
LBN Legal business name Wilson, Keith Alan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2007
Last updated Mar 27th, 2019 - about 6 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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