| Mr Derek Edward Wilson, PA-C | |
|
800 W Laurel St, Independence, KS 67301-3211 | |
| (620) 332-3280 | |
| (620) 332-3281 |
| Full Name | Mr Derek Edward Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 800 W Laurel St, Independence, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417034026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1501140 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derek Edward Wilson, PA-C Po Box 845, Independence, KS 67301-0845 Ph: (620) 332-3280 | Mr Derek Edward Wilson, PA-C 800 W Laurel St, Independence, KS 67301-3211 Ph: (620) 332-3280 |
Mallory E. Harris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 |
Thomas W. Cloven, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3354 Highway 160, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-332-1951 |