IndividualActive
Alisha Tarter Wilson, PA-C
NPI 1760629943 · Surgical Physician Assistant · Somerset, KY
Provider details
- NPI number
- 1760629943
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA1163 (KY)
Practice location
30 Medpark Square
Suite 1
Somerset, KY 42503-3812
Phone: (606) 451-0485
Fax: (606) 451-0229
Mailing address
Po Box 719
Somerset, KY 42502-0719
Registry dates
- Enumerated
- 2009-01-09
- Last updated
- 2016-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.