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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MR. KERRY THOMAS WILSON JR.
NPI 1871414136
Nurse Practitioner - Family in Louisville, KY

Active since July 23, 2026
100 MALLARD CREEK RD, LOUISVILLE, KY 40207(502) 894-2484 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kerry Thomas Wilson Jr. NPPES

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

MR. KERRY THOMAS WILSON JR. (NPI 1871414136) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4060823) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1871414136
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KERRY THOMAS WILSON JR.
Location Address100 MALLARD CREEK RDLouisville, KY 40207-4194
Mailing Address2303 Manchester RdLouisville, KY 40205-3045
Phone(502) 894-2484
Sole ProprietorNo
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1871414136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4060823
100 MALLARD CREEK RD, Louisville, KY 40207
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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.

ALEX WIEGEL DO
Family Medicine
100 MALLARD CREEK RD
LOUISVILLE, KY 40207
Jefferson County (502) 855-6130
MEDICAL CENTER CARDIOLOGISTS, PSC
Internal Medicine (Cardiovascular Disease)
100 MALLARD CREEK RD, SUITE 390
LOUISVILLE, KY 40207
Jefferson County (502) 899-1213
DAVID J. OVERLEY M.D.
Internal Medicine
100 MALLARD CREEK RD, STE. 320
LOUISVILLE, KY 40207
Jefferson County (502) 855-6125
CHAD C LANPHEAR AA
Anesthesiologist Assistant
100 MALLARD CREEK RD
LOUISVILLE, KY 40207
Jefferson County (502) 690-8782
ONE ANESTHESIA PLLC
Anesthesiology
100 MALLARD CREEK RD, SUITE 320
LOUISVILLE, KY 40207
Jefferson County (502) 473-2132
WILLIAM A. CURRIE M.D.
Internal Medicine
100 MALLARD CREEK RD, STE.320
LOUISVILLE, KY 40207
Jefferson County (502) 855-6125
GERASIMOS S STAVENS MD
Internal Medicine (Cardiovascular Disease)
100 MALLARD CREEK RD, SUITE 150
LOUISVILLE, KY 40207
Jefferson County (502) 589-7907
CARDIAC CARE CENTER OF LOUISVILLE, PLLC
Internal Medicine (Cardiovascular Disease)
100 MALLARD CREEK RD, SUITE 150
LOUISVILLE, KY 40207
Jefferson County (502) 721-9117

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 Kerry Wilson's NPI number?

The NPI number for Kerry Wilson is 1871414136. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Kerry Wilson located?

Kerry Wilson practices at 100 Mallard Creek Rd, Louisville, KY 40207. The listed phone number is (502) 894-2484.

What is Kerry Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kerry Wilson was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.