KENNETH CARL WILSON MD
NPI 1710042940
Family Medicine in Louisville, KY

Active since December 27, 2006
234 E GRAY ST, SUITE 364, LOUISVILLE, KY 40202(502) 629-5578(502) 629-5147 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Carl Wilson Md NPPES

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

KENNETH CARL WILSON MD (NPI 1710042940) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (24205) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1710042940
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH CARL WILSONCredential: MD
Location Address234 E GRAY ST, SUITE 364Louisville, KY 40202-1900
Mailing AddressPo Box 35070Louisville, KY 40232-5070 · (502) 629-5578 · Fax (502) 629-5147
Fax(502) 629-5147
Sole ProprietorYes
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1710042940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 24205
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.
234 E GRAY ST, Louisville, KY 40202

Other Identifiers 2

Medicare UPINC24837
Medicare ID-Type Unspecified331310C

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.

Orthopaedic Surgery
234 E GRAY ST, SUITE 564
LOUISVILLE, KY 40202
Neurological Surgery
234 E GRAY ST, SUITE 768
LOUISVILLE, KY 40202
General Acute Care Hospital
234 E GRAY ST, STE 225
LOUISVILLE, KY 40202
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
234 E GRAY ST, SUITE 858
LOUISVILLE, KY 40202
Pediatrics (Pediatric Pulmonology)
234 E GRAY ST, SUITE 270
LOUISVILLE, KY 40202
Orthopaedic Surgery
234 E GRAY ST, SUITE 564
LOUISVILLE, KY 40202
Specialist
234 E GRAY ST, SUITE 662
LOUISVILLE, KY 40202
General Practice
234 E GRAY ST, STE 334-B
LOUISVILLE, KY 40202

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 Kenneth Wilson's NPI number?

The NPI number for Kenneth Wilson is 1710042940. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Kenneth Wilson located?

Kenneth Wilson practices at 234 E Gray St Suite 364, Louisville, KY 40202. The listed phone number is (502) 629-5578.

What is Kenneth 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 Kenneth Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.