Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHLEEN GAYLE WILSON D.O.
NPI 1639140106
Family Medicine in Jacksonville, FL

Active since January 31, 2006
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 270-4220 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Gayle Wilson D.o. NPPES

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

KATHLEEN GAYLE WILSON D.O. (NPI 1639140106) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (OS0007923) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1639140106
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHLEEN GAYLE WILSONCredential: D.O.
Location Address2080 CHILD STJacksonville, FL 32214-5005
Mailing Address4227 Robin Hood RdJacksonville, FL 32210-5826 · (904) 384-3133
Sole ProprietorNo
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1639140106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS0007923
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2080 CHILD ST, Jacksonville, FL 32214

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.

Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214

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 Kathleen Wilson's NPI number?

The NPI number for Kathleen Wilson is 1639140106. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Kathleen Wilson located?

Kathleen Wilson practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 270-4220.

What is Kathleen Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Wilson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.