Kenneth Spencer Wilson (NPI# 1366400707, PAC ID# 6002896347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1366400707 |
| PAC ID by PECOS | 6002896347 |
| Professional Enrollment ID | I20040727000424 |
| Full Name | Kenneth Spencer Wilson |
| Address |
417 E Silas Bartlesville OK 74003-3611 |
| Gender | M |
| Credential | CP |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 417 E Silas, Bartlesville, OK 74003-3611 |
| Street Address |
417 E SILAS |
| City | BARTLESVILLE |
| State | OK |
| Zip | 74003-3611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc S Schluter | Chiropractic | 212 Se Frank Phillips Blvd, Bartlesville, OK 74003-3520 | |
| Jamie S Bennett | Optometry | 401 E Silas St, Bartlesville, OK 74003-3611 | |
| Leslie A Faulkner | Optometry | 311 Se Delaware Ave, Eyecare of Bartesville, Bartlesville, OK 74003-3631 | |
| Lindsey K Rovenstine | Chiropractic | 608 Se Delaware, Suite A, Bartlesville, OK 74003-3639 | |
| Tamara L Hill | Dermatology | Hill Dermatology Pllc | 309 Se Frank Phillips Blvd, Bartlesville, OK 74003-3643 |
| Sharron D Blaylock | Dermatology | Hill Dermatology Pllc | 309 Se Frank Phillips Blvd, Bartlesville, OK 74003-3643 |
| Kori A Sauer | Nurse Practitioner | Hill Dermatology Pllc | 309 Se Frank Phillips Blvd, Bartlesville, OK 74003-3643 |
| Christopher D Lavers | Physician Assistant | Hill Dermatology Pllc | 309 Se Frank Phillips Blvd, Bartlesville, OK 74003-3643 |
| Charlene D Hoover | Nurse Practitioner | Generations Family Medical Clinic LLC | 400 Se Frank Phillips Blvd, Bartlesville, OK 74003-3644 |
| Joe D Sagely | Emergency Medicine | Generations Family Medical Clinic LLC | 400 Se Frank Phillips Blvd, Bartlesville, OK 74003-3644 |
| Find all physicians in zip 74003 | |||
| City | BARTLESVILLE |
| Zip Code | 74003 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | BARTLESVILLE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kenneth Spencer Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.