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

Q: 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.

Q: What is Kevin Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Wilson was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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: August 16, 2026.

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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)