Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM WILSON, PA-C
ActiveKIM WILSON, PA-C is a Surgical Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1073982245 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1073982245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2015 (10.941314937343 yrs)
- Last Updated
- Nov 25, 2025
- License
-
PA1456 (ID)
Practice Information
- Address
-
1055 N CURTIS RDBOISE, ID, 837061309Browse ID providers · Browse ZIP 83706
- Phone
- 2083678855
- Fax
- 2083672989
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Student (Health Education/Training)
Other Surgical Physician Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL WINSCHEL | PA | 1508843038 |
| MRS. ALICIA R BORST | P.A.C. | 1780641530 |
| ROBERT JAMES BUZZINI | P.A. | 1497703730 |
| SCOTT B BURNETT | PA-C | 1295787240 |
| NICOLE F PYLE | PA-C | 1821009788 |
| MR. MARVIN CHARLES SPARRELL | MPAS PA-C | 1639181233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.