Wilson, Kenneth L

Wilson, Kenneth L is an sole proprietor health care provider with primary practice located at 4398 Atlanta Hwy , Loganville GA 30052-7314. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wilson, Kenneth L can be contacted via phone (678) 639-0129.

Contact Information

Primary practice address
4398 Atlanta Hwy Loganville GA 30052-7314
Phone: (678) 639-0129
Fax: (678) 639-1547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10952 Georgia

Profile Details

NPI number 1972886067
LBN Legal business name Wilson, Kenneth L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2011
Last updated Sep 24th, 2011 - about 14 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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