Keith M Wilson in Cincinnati - Plastic Surgery Within The Head & Neck
Keith M Wilson - NPI 1528009768
Keith M Wilson is a Plastic Surgery Within The Head & Neck in Cincinnati, Ohio. Keith M Wilson practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Keith M Wilson is 1528009768. The last update date is 2017-12-12.
Keith M Wilson's current location address is Po Box 636256 Central Credentialing, Cincinnati, Ohio. You can contact this provider via phone number 5135855507 and fax number 5135855511. The mailing address for Keith M Wilson is Po Box 636256 Central Credentialing, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith M Wilson |
|---|---|
| Address | Po Box 636256 Central Credentialing, Cincinnati, Ohio |
| Phone Number | 5135855507 |
| Fax Number | 5135855511 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528009768 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2017-12-12 |
Provider Mailing Address Detail
| Address | Po Box 636256 Central Credentialing |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452636256 |
| Phone Number | 5135855507 |
| Fax Number | 5135855511 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 35062146 |
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Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1528009768 | OH | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Keith M Wilson's 1528009768?
The Keith M Wilson's NPI (National Provider Identifier) Number is 1528009768. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Keith M Wilson's facilities are situated?
The facilities of Keith M Wilson are physically located at the following address: Po Box 636256 Central Credentialing, Cincinnati, OH, 452636256.
What is Keith M Wilson's area of expertise and its corresponding taxonomy classification?
The Keith M Wilson's field of specialization is Plastic Surgery Within The Head & Neck, and it falls under the taxonomy code 207Yx0007X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1528009768 to Keith M Wilson?
The Centers for Medicare & Medicaid Services assigned the 1528009768 to Keith M Wilson on 2006-06-09.
When was the information pertaining to Keith M Wilson most recently updated or revised?
The details related to Keith M Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2017-12-12.