Dr. Chase Landon Wilson
Dermatologist
304 Boston Sq
Georgetown
, Kentucky 40324-9786
Dr. Chase Landon Wilson
Dermatologist
304 Boston Sq
Georgetown
, Kentucky 40324-9786
(270) 564-1691
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Chase Landon Wilson
- Po Box 956
- Georgetown, KY
- Zip : 40324-0956
- Phone : (270) 564-1691
Second Address
- Dr. Chase Landon Wilson
- 304 Boston Sq
- Georgetown, KY
- Zip : 40324-9786
- Phone : (502) 316-9425
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 49577 | KY |
National Provider Identifier
| NPI | 1053757641 |
|---|---|
| Provider Name | Dr. Chase Landon Wilson |
| First Address | Georgetown, KY 40324-0956 |
| Second Address | Georgetown, KY 40324-9786 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2013 |
| Last Update Date | 08/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.