| Doctor Name: | KAILEY WILSON |
| NPI Number: | 1003222712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2014018817 |
| Business Practice Address: | 404 N Keene St Columbia, MO - 652016626 |
| Business Phone Number: | 5738824438 |
| Business Fax Number: | 5738849992 |
| Mailing Address: | 400 N Keene St, COLUMBIA |
| State: | MO |
| Postal Code: | 652016626 |
| Phone Number: | 5738824438 |
| Fax Number: | 5738849992 |
| NPI Enumeration Date: | 07/02/2014 |
| NPI Last Update Date: | 07/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 2014018817 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |