Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alex Wilson

Individual provider Other Technician · NPI 1104294073

Alex Wilson is an Other Technician in Kennett, Missouri. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

1109 Jones St
Kennett, MO 63857-3824
Phone: (573) 888-6454
Fax: (573) 888-2369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1104294073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 9, 2015
Mailing address1109 Jones St, Kennett, MO 63857-3824

Other providers in Kennett