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

Mr. Derek Edward Wilson, PA-C

Individual provider Medical Physician Assistant · NPI 1417034026

Mr. Derek Edward Wilson, PA-C is a Medical Physician Assistant in Independence, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

800 W Laurel St
Independence, KS 67301-3211
Phone: (620) 332-3280
Fax: (620) 332-3281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1501140 (KS)

Record details

NPI number1417034026
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJanuary 14, 2010

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