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KENEISHA WILSON LPN
NPI 1689547572
Licensed Practical Nurse in Detroit, MI

Active since September 26, 2025
19949 FENTON ST, DETROIT, MI 48219(248) 918-5188 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keneisha Wilson Lpn NPPES

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

KENEISHA WILSON LPN (NPI 1689547572) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703129149) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1689547572
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKENEISHA WILSONCredential: LPN
Location Address19949 FENTON STDetroit, MI 48219-1069
Mailing Address19949 Fenton StDetroit, MI 48219-1069 · (248) 918-5188
Phone(248) 918-5188
Sole ProprietorNo
Enumeration DateSeptember 26, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1689547572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703129149
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
19949 FENTON ST, Detroit, MI 48219
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Other Providers at the Same Location NPPES 2

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

ALL IS WELL HEALTH CARE
In Home Supportive Care
19949 FENTON ST
DETROIT, MI 48219
Wayne County (248) 918-5188
DELLA ANASTASIA BOLDEN REGISTERED NURSE
Registered Nurse
19949 FENTON ST
DETROIT, MI 48219
Wayne County (248) 918-5188

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 Keneisha Wilson's NPI number?

The NPI number for Keneisha Wilson is 1689547572. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Where is Keneisha Wilson located?

Keneisha Wilson practices at 19949 Fenton St, Detroit, MI 48219. The listed phone number is (248) 918-5188.

What is Keneisha Wilson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Keneisha Wilson was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.