Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH R WILSON SR.
Active Sole ProprietorKENNETH R WILSON SR. is a Durable Medical Equipment & Medical Supplies healthcare provider located in JACKSONVILLE, Florida. NPI 1619567872 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1619567872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2021 (5.5843862650208 yrs)
- Last Updated
- Jan 21, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
2081 CHAFFEE RD S LOT 119JACKSONVILLE, FL, 322211887Browse FL providers · Browse ZIP 32221
- Phone
- 9048349093
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Other Durable Medical Equipment & Medical Supplies Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. ROSETTA BROWN SHEPPARD | — | 1679883169 |
| SIDNETTA ROSEMOND | — | 1487186342 |
| MR. JOEL NONE CREGUT | — | 1639668379 |
| MR. ANDRE' POLLARD | — | 1902456106 |
| CHRISTINA LORRAINE JONES | — | 1215540562 |
| MR. TIMOTHY CARL STILES | DME SUPPLIER | 1194469684 |
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.