Search › Idaho › 207R00000X
Kevin Wilson, DO
NPI 1174633085 · on the registry since 2006
Practice
- Address
- 5966 W Curtisian Ave
Boise, ID 83704 - Phone
- (208) 302-5400
- Fax
- (208) 302-5455
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- ID, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho