Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN WILLIAM WILSON, DO
ActiveKEVIN WILLIAM WILSON, DO is a Internal Medicine healthcare provider located in BOISE, Idaho. NPI 1174633085 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BOISE, ID
Registration Details
- NPI Number
- 1174633085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.942540743738 yrs)
- Last Updated
- Aug 13, 2020
- Licenses
-
O-1071 (ID)2688 (AZ)
Practice Information
- Address
-
5966 W CURTISIAN AVEBOISE, ID, 83704Browse ID providers · Browse ZIP 83704
- Phone
- 2083025400
- Fax
- 2083025455
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN E SPENCER SR. | MD | 1376548230 |
| DR. SUSAN ELIZABETH BAXTER | MD | 1417959842 |
| LEE M KORNFIELD | MD | 1275527186 |
| DR. GRETCHEN L KOHLER | MD | 1982698502 |
| DR. PETER MATTHEW CLIFTEN | M.D. | 1760473771 |
| DR. LESLEIGH A BOX | MD | 1720064785 |
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.