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KEVIN WILLIAM WILSON DO
NPI 1174633085
Internal Medicine in Boise, ID

Active since August 30, 2006
5966 W CURTISIAN AVE, BOISE, ID 83704(208) 302-5400(208) 302-5455 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin William Wilson Do NPPES

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

KEVIN WILLIAM WILSON DO (NPI 1174633085) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (O-1071) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174633085
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN WILLIAM WILSONCredential: DO
Location Address5966 W CURTISIAN AVEBoise, ID 83704
Mailing Address3340 E Goldstone WayMeridian, ID 83642 · (208) 302-5400 · Fax (208) 302-5455
Phone(208) 302-5400
Fax(208) 302-5455
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1174633085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ID · O-1071✔ Licensed in AZ · 2688
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5966 W CURTISIAN AVE, Boise, ID 83704
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Other Identifiers 1

Medicaid110388AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEX PETER HYTROS PHARMD
Pharmacist (Ambulatory Care)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5460
MICHELLE STACEY CHRISTOPHER M.D.
Internal Medicine (Hospice and Palliative Medicine)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5470
RANAN GRACE SPOLAR NP-C
Nurse Practitioner (Family)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5470
WHITNEY LYNN FINCH
Nurse Practitioner
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5450
DR. VICTOR BARTLING D.O.
Family Medicine (Hospice and Palliative Medicine)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5480
KIMIKNU MENTORE MD
Internal Medicine
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5450
JEREMY CROWFOOT PHARM.D.
Pharmacist
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5470
KELSEY HAMILTON SMITH NP
Nurse Practitioner (Primary Care)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5400

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 Kevin Wilson's NPI number?

The NPI number for Kevin Wilson is 1174633085. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kevin Wilson located?

Kevin Wilson practices at 5966 W Curtisian Ave, Boise, ID 83704. The listed phone number is (208) 302-5400.

What is Kevin Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kevin Wilson was last updated on August 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.