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KELSEY WILDER
NPI 1770441966
Student in an Organized Health Care Education/Training Program in Port Orchard, WA

Active since January 14, 2026
450 S KITSAP BLVD STE 210, PORT ORCHARD, WA 98366(360) 895-8900 Get Directions Write a Review

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

Record update history: Apr 26, 2026, Jan 14, 2026 (2 updates tracked since 2026).

About Kelsey Wilder NPPES

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

KELSEY WILDER (NPI 1770441966) is an individual student in an organized health care education/training program in Port Orchard, Washington and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1770441966
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameKELSEY WILDER
Location Address450 S KITSAP BLVD STE 210Port Orchard, WA 98366-3738
Mailing Address450 S Kitsap Blvd Ste 210Port Orchard, WA 98366-3738
Phone(360) 895-8900
Sole ProprietorYes
Enumeration DateJanuary 14, 2026
Last NPPES UpdateApril 26, 20262 updates tracked since enumeration
NPPES CertifiedApril 26, 2026
✔ NPI 1770441966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 S KITSAP BLVD STE 210, Port Orchard, WA 98366
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Other Providers at the Same Location NPPES 12

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

ARUNIMA DUTTA MD
Internal Medicine
450 S KITSAP BLVD STE 210
PORT ORCHARD, WA 98366
Kitsap County (360) 874-5900
SANA REHMAN MD
Internal Medicine
450 S KITSAP BLVD STE 210
PORT ORCHARD, WA 98366
Kitsap County (360) 874-5900
DR. MARK IAN ANDERSON M.D.
Urology
450 S KITSAP BLVD STE 210
PORT ORCHARD, WA 98366
Kitsap County (360) 895-8950
BRIAN ALAN SMOLEY MD, MPH, FAAFP
Family Medicine
450 S KITSAP BLVD STE 210
PORT ORCHARD, WA 98366
Kitsap County (360) 874-5900
FRANCISCAN MEDICAL GROUP
Family Medicine
450 S KITSAP BLVD STE 210
PORT ORCHARD, WA 98366
Kitsap County (360) 895-8900
DR. SAMAY JAIN M.D.
Urology
450 S KITSAP BLVD STE 210
PORT ORCHARD, WA 98366
Kitsap County (360) 895-8950
DAVID L WANG DO
Family Medicine
450 S KITSAP BLVD STE 210
PORT ORCHARD, WA 98366
Kitsap County (360) 895-8900
RHYS TRISTON HAYDON FNP
Nurse Practitioner (Family)
450 S KITSAP BLVD STE 210
PORT ORCHARD, WA 98366
Kitsap County (360) 874-5900

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 Kelsey Wilder's NPI number?

The NPI number for Kelsey Wilder is 1770441966. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Where is Kelsey Wilder located?

Kelsey Wilder practices at 450 S Kitsap Blvd Ste 210, Port Orchard, WA 98366. The listed phone number is (360) 895-8900.

What is Kelsey Wilder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelsey Wilder was last updated on April 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.