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Contact Information

KEITH G WILSON
155 N FRESNO ST
FRESNO, CA93701
 Phone: 559-499-6440
 Fax: 559-499-6441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KEITH G WILSON · (Male)

NPI # 1255776258
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2013
Last updated 07/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A132622
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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