Wilson, Kevin J

Wilson, Kevin J is an individual health care provider with primary practice located at 3140 W Milano Dr Suite 150, Meridian ID 83646-7290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Kevin J can be contacted via phone (208) 887-4775.

Contact Information

Primary practice address
3140 W Milano Dr Suite 150 Meridian ID 83646-7290
Phone: (208) 887-4775
Fax: (208) 888-1344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M9669 Idaho

Profile Details

NPI number 1225080732
LBN Legal business name Wilson, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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