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KELLY DIANE WILSON MS, ATC
NPI 1801349162
Student in an Organized Health Care Education/Training Program in Costa Mesa, CA

Active since August 03, 2016
55 FAIR DR, COSTA MESA, CA 92626(714) 619-6618 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Diane Wilson Ms, Atc NPPES

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

KELLY DIANE WILSON MS, ATC (NPI 1801349162) is an individual student in an organized health care education/training program in Costa Mesa, California and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1801349162
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY DIANE WILSONCredential: MS, ATC
Location Address55 FAIR DRCosta Mesa, CA 92626-6520
Mailing Address602 Center St, Apt C-1Costa Mesa, CA 92627-2781 · (562) 293-5600
Phone(714) 619-6618
Sole ProprietorNo
Enumeration DateAugust 3, 2016
✔ NPI 1801349162 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.
55 FAIR DR, Costa Mesa, CA 92626
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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.

DALILA PEREA
Counselor (Mental Health)
55 FAIR DR
COSTA MESA, CA 92626
Orange County (714) 474-6482
MRS. ALISE MARIE JUANES ATC
Specialist/Technologist (Athletic Trainer)
55 FAIR DR, ATTN: ATHLETICS
COSTA MESA, CA 92626
Orange County (714) 556-3610
LESLEY R DAVIS MFC
Marriage & Family Therapist
55 FAIR DR
COSTA MESA, CA 92626
Orange County (949) 468-9121
COLBY WILLIAM MCKAMEY A.T.C.
Specialist/Technologist (Athletic Trainer)
55 FAIR DR, HEALTH CENTER
COSTA MESA, CA 92626
Orange County (406) 781-9183
TERRY ANN ZEIGLER AT
Specialist/Technologist (Athletic Trainer)
55 FAIR DR
COSTA MESA, CA 92626
Orange County (714) 556-3610
JEFFREY WEINSTEIN ATC
Specialist/Technologist (Athletic Trainer)
55 FAIR DR
COSTA MESA, CA 92626
Orange County (714) 668-6619
MRS. JULIA MARGARET WILSON
Nurse Practitioner (Family)
55 FAIR DR
COSTA MESA, CA 92626
Orange County (714) 668-6103
DARIN THOMAS VOIGT M.S., ATC
Specialist/Technologist (Athletic Trainer)
55 FAIR DR
COSTA MESA, CA 92626
Orange County (714) 556-3610

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 Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1801349162. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Kelly Wilson located?

Kelly Wilson practices at 55 Fair Dr, Costa Mesa, CA 92626. The listed phone number is (714) 619-6618.

What is Kelly Wilson'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 Kelly Wilson was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.