Prof. Keith M Wilson
Plastic Surgeon (Head & Neck)
222 Piedmont Ave
Cincinnati
, Ohio 45219-4231
Prof. Keith M Wilson
Plastic Surgeon (Head & Neck)
222 Piedmont Ave
Cincinnati
, Ohio 45219-4231
(513) 585-5511
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Prof. Keith M Wilson
- Po Box 636256 Central Credentialing
- Cincinnati, OH
- Zip : 45263-6256
- Fax : (513) 585-5511
- Phone : (513) 585-5507
Second Address
- Prof. Keith M Wilson
- 222 Piedmont Ave
- Cincinnati, OH
- Zip : 45219-4231
- Fax : (513) 475-8228
- Phone : (513) 475-8400
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FAQs
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Is Prof. Keith M Wilson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 35062146 | OH |
National Provider Identifier
| NPI | 1528009768 |
|---|---|
| Provider Name | Prof. Keith M Wilson |
| First Address | Cincinnati, OH 45263-6256 |
| Second Address | Cincinnati, OH 45219-4231 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 12/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1528009768 | RAILROAD MEDICARE (01) | OH |
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.