Wilt, David A

Wilt, David A is an individual health care provider with primary practice located at 1010 Carondelet Dr Suite 224, Kansas City MO 64114-4859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilt, David A can be contacted via phone (816) 943-0706.

Contact Information

Primary practice address
1010 Carondelet Dr Suite 224 Kansas City MO 64114-4859
Phone: (816) 943-0706
Fax: (816) 943-6122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R9F92 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-20602 Kansas

Profile Details

NPI number 1508857509
LBN Legal business name Wilt, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jan 4th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508857509 NPPES
Missouri MEDICAID 208747303

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