Kelly Marie Wilson, LPN is a
Licensed Practical Nurse based in Centerville, Tennessee. Kelly Marie Wilson is licensed to practice in Tennessee (license number 49930) and her current practice location is
111 Murphree Ave, Centerville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 729-3516.
NPI number for Kelly Marie Wilson is 1851097307 and her current mailing address is 111 Murphree Ave, Centerville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851097307.
Provider's Profile
| Full Name | Kelly Marie Wilson |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 111 Murphree Ave, Centerville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851097307
- Provider Enumeration Date: 02/06/2023
- Last Update Date: 02/06/2023
Medical Identifiers
Medical identifiers for Kelly Marie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851097307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 49930 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Marie Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kelly Marie Wilson, LPN 111 Murphree Ave, Centerville, TN 37033-1418 Ph: (931) 729-3516 | Kelly Marie Wilson, LPN 111 Murphree Ave, Centerville, TN 37033-1418 Ph: (931) 729-3516 |
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