Barry Scott Wilson | Lees Summit, MO • PECOS Search

Barry Scott Wilson

Chiropractor

Chiropractic Providers

13313 Pratt Rd, Lees Summit, MO 64086-9422

PECOS Enrollment

Based on the most recent information from CMS, provider Barry Scott Wilson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1437450467
Provider Type
Individual
Full Name
Wilson, Barry Scott
Title
Mr.
Credential
D.C.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/8/2010
Last Updated
11/8/2010

Contact Information

Practice Location

13313 Pratt Rd, Lees Summit, MO 64086-9422

Unlisted Fax

Mailing Location

13313 Pratt Rd, Lees Summit, MO 64086-9422

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 005261 Missouri