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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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

Active since July 23, 2026
100 MALLARD CREEK RD STE 320, LOUISVILLE, KY 40207(502) 855-6125(502) 394-1972 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, Jul 23, 2026 (2 updates tracked since 2026).

About Mr. Kerry Thomas Wilson Jr. Aprn NPPES

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

MR. KERRY THOMAS WILSON JR. APRN (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.Credential: APRN
Location Address100 MALLARD CREEK RD STE 320Louisville, KY 40207-5136
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 855-6125
Fax(502) 394-1972
Sole ProprietorNo
Enumeration DateJuly 23, 2026
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 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 STE 320, Louisville, KY 40207
Open in Google Maps ↗

Other Names 1

Professional Name (2)Kerry Thomas Wilson Aprn

Other Providers at the Same Location NPPES 7

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

AMIE J. CORNELL CRNA
Nurse Anesthetist, Certified Registered
100 MALLARD CREEK RD STE 320
LOUISVILLE, KY 40207
Jefferson County (502) 690-8782
JAMIE L CANNADY NP
Nurse Practitioner (Family)
100 MALLARD CREEK RD STE 320
LOUISVILLE, KY 40207
Jefferson County (502) 855-6125
DR. STEPHEN W STANSBURY MD
Family Medicine
100 MALLARD CREEK RD STE 320
LOUISVILLE, KY 40207
Jefferson County (502) 855-6125
KELLI DARLENE DUGGAN M.D.
Family Medicine
100 MALLARD CREEK RD STE 320
LOUISVILLE, KY 40207
Jefferson County (502) 855-6125
CLAUDIA ELIZABETH PEREZ MARTINEZ M.D.
Anesthesiology
100 MALLARD CREEK RD STE 320
LOUISVILLE, KY 40207
Jefferson County (502) 690-8782
WESLEY SCOTT CONN CRNA
Nurse Anesthetist, Certified Registered
100 MALLARD CREEK RD STE 320
LOUISVILLE, KY 40207
Jefferson County (502) 690-8782
DR. REGI VARGHESE M.D.
Internal Medicine
100 MALLARD CREEK RD STE 320
LOUISVILLE, KY 40207
Jefferson County (502) 855-6125

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. The provider is also known as Kerry Thomas Wilson Aprn.

Where is Kerry Wilson located?

Kerry Wilson practices at 100 Mallard Creek Rd Ste 320, Louisville, KY 40207. The listed phone number is (502) 855-6125.

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 September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.