Most Relevant Information
Provider Data
| NPI Number: | 1003222712 |
| Provider Name: | KAILEY WILSON DO |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 2014018817 |
Most Important Dates
| Enumeration Date: | 07/02/2014 |
| Last Updated: | 05/08/2019 |
Provider Practice Location
3171 NE CARNEGIE DR STE A
LEES SUMMIT
MO
640643226
Practice Location Phone/Fax
| Phone: | 8165252800 |
| Fax: | 8165254077 |
Provider Mailing Location
3171 NE CARNEGIE DR STE A
LEES SUMMIT
MO
640643226
Provider Mailing Phone/Fax
| Phone: | 8165252800 |
| Fax: | 8165254077 |
Suggested EMR
Pediatrics EMR