IndividualActive
Brett Wilson, PA
NPI 1194726307 · Surgical Physician Assistant · Liberty, MO
Provider details
- NPI number
- 1194726307
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 15-00245 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
2521 Glenn Hendren Dr Ste 204
Liberty, MO 64068-3388
Phone: (816) 781-6066
Approximate (ZIP-level) locationGet directions
Mailing address
1733 County Road 200
Emporia, KS 66801-7672
Additional practice locations (1)
- 2522 W 15th AveEmporia, KS 66801-6102Phone: (620) 343-7043Fax: (620) 343-8571
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2019-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.