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KISHA WILSON
NPI 1053585703
Pediatrics in Atlanta, GA

Active since April 14, 2008
1405 ADAMS LAKE BLVD SE, ATLANTA, GA 30339(614) 352-9672 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kisha Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KISHA WILSON (NPI 1053585703) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (001609) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1053585703
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKISHA WILSON
Location Address1405 ADAMS LAKE BLVD SEAtlanta, GA 30339-3389
Mailing Address1405 Adams Lake Blvd SeAtlanta, GA 30339-3389
Phone(614) 352-9672
Sole ProprietorYes
Enumeration DateApril 14, 2008
Last NPPES UpdateApril 18, 2008
✔ NPI 1053585703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 001609
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1405 ADAMS LAKE BLVD SE, Atlanta, GA 30339
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kisha Wilson's NPI number?

The NPI number for Kisha Wilson is 1053585703. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Kisha Wilson located?

Kisha Wilson practices at 1405 Adams Lake Blvd SE, Atlanta, GA 30339. The listed phone number is (614) 352-9672.

What is Kisha Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kisha Wilson was last updated on April 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.