Wilson, Richard Scott
Wilson, Richard Scott is an individual health care provider with primary practice located at 4620 Village Square Drive , Paducah KY 42001-7501. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wilson, Richard Scott can be contacted via phone (270) 442-8575.Contact Information
Primary practice address
4620 Village Square Drive
Paducah KY 42001-7501
Phone: (270) 442-8575
Fax: (270) 442-8783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 41142 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 654-L | Mississippi |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 41142 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41142 | Kentucky |
Profile Details
| NPI number | 1952508715 |
|---|---|
| LBN Legal business name | Wilson, Richard Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Oct 7th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952508715 | NPPES |
| Kentucky | MEDICAID | 7100050700 | |
| Kentucky | Other | CB8326 | |
| Kentucky | Other | P00612564 |
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