Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELBY JON WILSON, MD
ActiveKELBY JON WILSON, MD is a Family Medicine healthcare provider located in GRANGEVILLE, Idaho. NPI 1164872115 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRANGEVILLE, ID
Registration Details
- NPI Number
- 1164872115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2016 (9.9673775286098 yrs)
- Last Updated
- Sep 30, 2020
- License
-
M-14749 (ID)
Practice Information
- Address
-
607 W MAIN STGRANGEVILLE, ID, 835301345Browse ID providers · Browse ZIP 83530
- Phone
- 2089831700
- Fax
- 2089834665
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRANGEVILLE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL C GRIFFIS | MD | 1063499010 |
| DR. WAYNE L HOLLOPETER | M.D. | 1518051366 |
| JOAN B. THOMPSON | M.D. | 1306925250 |
| DR. MATTHEW W. TOLD | DO | 1477718716 |
| DR. DEVN A FRANDSEN | DO | 1730316043 |
| MICHAEL MATTHEWS | — | 1609255116 |
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.