Kendall L Wilson Jr. (NPI# 1154416725, PAC ID# 5698792810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154416725 |
| PAC ID by PECOS | 5698792810 |
| Professional Enrollment ID | I20051027000577 |
| Full Name | Kendall L Wilson Jr. |
| Address |
505 Lee St N Lewisburg WV 24901-2206 |
| Phone Number | 3046452154 |
| Gender | M |
| Credential | DO |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 505 Lee St N, Lewisburg, WV 24901-2206 | 3046452154 |
| Street Address |
505 LEE ST N |
| City | LEWISBURG |
| State | WV |
| Zip | 24901-2206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Bashlor | Nurse Practitioner | West Virginia School of Osteopathic Medicine Clinic Inc | Rr 2 Box, Lewisburg, WV 24901 |
| Tasso S Butler Jr. | Optometry | 413 Greenbrier Valley Mall Dr, Suite 2, Lewisburg, WV 24901-0237 | |
| Rhonda L Hamm | Psychiatry | 333 N Jefferson St, Lewisburg, WV 24901-1116 | |
| William Pugh Iii | Optometry | Family Vision Care Inc | 520 N Jefferson St, Lewisburg, WV 24901-1164 |
| Michael A Buchanan Ii | Optometry | Family Vision Care Inc | 520 N Jefferson St, Lewisburg, WV 24901-1164 |
| Jeremiah John Troyer | Optometry | 213 Gateway Blvd, Suite 4, Lewisburg, WV 24901-1174 | |
| Michael A Brumfield | Chiropractic | 203 S Jefferson St A, Lewisburg, WV 24901-1316 | |
| Hanno W Kirk | Clinical Social Worker | 128 W Washington St, Lewisburg, WV 24901-1353 | |
| Jessica Smith-kelly | Internal Medicine | West Virginia School of Osteopathic Medicine Clinic Inc | 1464 Jefferson St N, Lewisburg, WV 24901-1380 |
| David L Hyler Both | Family Medicine | West Virginia School of Osteopathic Medicine Clinic Inc | 1464 Jefferson St N, Lewisburg, WV 24901-1380 |
| Find all physicians in zip 24901 | |||
| City | LEWISBURG |
| Zip Code | 24901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEWISBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kendall L Wilson Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.