DR. Kevin J Wilson, MD

NPI #1225080732 in Meridian, Idaho

Provider Information

NPI Number: 1225080732
Entity Type: Individual
Name: DR. Kevin J Wilson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 16, 2006
Last Updated: Aug 21, 2012

Practice Location

Address: 3140 W MILANO DR
Address 2: SUITE 150
City: Meridian
State: Idaho
ZIP Code: 83646-7290
Phone: (208) 887-4775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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