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MR. KENT SHANNON WILSON MD
NPI 1922044288
Otolaryngology in Woodbury, MN

Active since June 22, 2006
2080 WOODWINDS DRIVE, #120, WOODBURY, MN 55125(651) 702-0750(651) 702-0749 Get Directions Write a Review

NPPES record last updated: December 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kent Shannon Wilson Md NPPES

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

MR. KENT SHANNON WILSON MD (NPI 1922044288) is an individual otolaryngology provider in Woodbury, Minnesota, licensed in Minnesota (17805) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1922044288
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. KENT SHANNON WILSONCredential: MD
Location Address2080 WOODWINDS DRIVE, #120Woodbury, MN 55125
Mailing Address2080 Woodwinds Drive, #120Woodbury, MN 55125 · (651) 702-0750 · Fax (651) 645-6166
Phone(651) 702-0750
Fax(651) 702-0749
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateDecember 4, 2009
✔ NPI 1922044288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MN · 17805
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSurgeryTaxonomy 208600000X · License 17805 (MN)
2080 WOODWINDS DRIVE, Woodbury, MN 55125
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Other Identifiers 3

Medicare UPINA96549
Medicare ID-Type Unspecified40000055
Medicaid905070100MN

Other Providers at the Same Location NPPES 4

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

MR. ROBERT WESTON SMITH MD
Otolaryngology
2080 WOODWINDS DRIVE, #240
WOODBURY, MN 55125
Washington County (651) 702-0750
DR. CHERIE YVONNE ZACHARY M.D.
Allergy & Immunology
2080 WOODWINDS DRIVE, SUITE #240
WOODBURY, MN 55125
Washington County (651) 702-0750
MRS. BARBARA NEWMAN MALONE MD
Surgery (Pediatric Surgery)
2080 WOODWINDS DRIVE, #120
WOODBURY, MN 55125
Washington County (651) 702-0750
CAITLIN ARIEL TURRIFF AU.D.
Audiologist
2080 WOODWINDS DRIVE, #240
WOODBURY, MN 55125
Washington County (651) 702-0750

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 Kent Wilson's NPI number?

The NPI number for Kent Wilson is 1922044288. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Kent Wilson located?

Kent Wilson practices at 2080 Woodwinds Drive #120, Woodbury, MN 55125. The listed phone number is (651) 702-0750.

What is Kent Wilson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Kent Wilson was last updated on December 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.