Wilson, Kevin William

Wilson, Kevin William is an individual health care provider with primary practice located at 1700 Old Gatesburg Rd Ste 200 , State College PA 16803-2276. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wilson, Kevin William can be contacted via phone (814) 237-4321.

Contact Information

Primary practice address
1700 Old Gatesburg Rd Ste 200 State College PA 16803-2276
Phone: (814) 237-4321
Fax: (814) 235-0484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD468320 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD468320 Pennsylvania

Profile Details

NPI number 1790980381
LBN Legal business name Wilson, Kevin William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jul 29th, 2019 - about 5 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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