KEVIN WILLIAM WILSON


Address: 5966 W Curtisian Ave, Boise, ID 83704
Phone: 2083025400

KEVIN WILLIAM WILSON (NPI# 1174633085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174633085
Entity Type Individual
Full Name KEVIN WILLIAM WILSON
Credential DO
Practice Address 5966 W Curtisian Ave
Boise
ID 83704
Mailing Address 3340 E Goldstone Way
Meridian
ID 83642
Practice Telephone 2083025400
Practice Fax Number 2083025455
Mailing Telephone 2083025400
Mailing Fax Number 2083025455
Enumeration Date 2006-08-30
Last Update Date 2020-08-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine O-1071 ID Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 2688 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 110388 05

Other Providers KEVIN WILSON

NPI Name Taxonomy Address Enumeration
1033749031 Kevin H Wilson Social Worker 30938 W Mitchell Dr, Buckeye, AZ 85396-6813 2020-01-19
1427548833 Kevin Wilson Dentist 2034 Sturbridge Dr Apt B2, Columbus, OH 43209-4424 2018-05-11
1073037008 Kevin M Wilson Durable Medical Equipment & Medical Supplies 2547 W Augusta Blvd # 4, Chicago, IL 60622-4561 2017-08-01
1275874356 Kevin Jerome Wilson Counselor 970 E. 126th Terrace, Olathe, KS 66061 2013-03-14
1386965812 Kevin Ford Wilson Military Health Care Provider 1 Wahoo Ave # 600, Groton, CT 06349-2324 2010-06-18
1437488749 Kevin Poul Wilson Counselor 1819 N Dover St, Independence, MO 64058-1231 2009-12-15
1932368545 Kevin Wilson Physician Assistant 1015 E 15th St, Plano, TX 75074-6221 2008-06-09
1073787776 Kevin David Wilson Family Medicine 3801 N Mccoll Rd Apt 617, Mcallen, TX 78501-9141 2008-04-15
1649293531 Kevin Drew Wilson Dentist 154 Elm St, Milford, NH 03055-4759 2006-07-25
1104890128 Kevin David Wilson Physical Therapist 2835 Miami Village Dr, Miamisburg, OH 45342-4587 2006-02-15

Office Location

Street Address 5966 W CURTISIAN AVE
City BOISE
State ID
Zip Code 83704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730169178 Laurie J Ashby Family Medicine 5966 W Curtisian Ave, Boise, ID 83604 2006-01-20
1376079004 Jeremy Crowfoot Pharmacist 5966 W Curtisian Ave, Boise, ID 83704-8801 2017-05-01
1881129146 Sara Jean Smith Nurse Practitioner 5966 W Curtisian Ave, Boise, ID 83704 2017-04-25
1447707120 Sherri Siegel Nurse Practitioner 5966 W Curtisian Ave, Boise, ID 83704-8801 2016-09-09
1124498860 Danielle Burke Physician Assistant 5966 W Curtisian Ave, Boise, ID 83704-8801 2015-10-06
1376938076 Caitlin Kinahan Internal Medicine 5966 W Curtisian Ave, Boise, ID 83704 2015-03-31
1619234622 Alexandra Nicole Meier Internal Medicine 5966 W Curtisian Ave, Boise, ID 83704-8801 2012-04-15
1962468025 Charles E Boult Internal Medicine 5966 W Curtisian Ave, Boise, ID 83706 2006-04-26
1174598684 Victor Bartling Family Medicine 5966 W Curtisian Ave, Boise, ID 83704 2006-02-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535893 Laura Diggs Counselor 400 North Benjamin Lane, Suite 200, Boise, ID 83704 2020-10-15
1891304002 Tree City Family Dental Dentist 7301 W. Emerald St Ste. 102, Boise, ID 83704 2020-07-24
1982230710 Jessica Wynn Councell Midwife 1072 N Liberty St Ste 100, Boise, ID 83704 2020-03-12
1699307124 Isabel Burns Bruce Registered Nurse 777 N Raymond Street, Boise, ID 83704 2020-02-12
1558903328 Daring In Idaho, LLC Social Worker 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 2019-10-14
1053960286 Kyle Hiromi Hatanaka Acupuncturist 9450 #120 Fairview Avenue, Boise, ID 83704 2019-09-10
1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1588164727 Cory Michael Sims Counselor 6550 W. Emerald St #112, Boise, ID 83704 2018-02-14
1477072270 Matthew Lee Love Non-emergency Medical Transport (VAN) 6933 W. Stratton St, Boise, ID 83704 2017-09-12
1942735949 Dalana Sue Thompson Counselor 9196 Emerald St Suite #130, Boise, ID 83704 2017-04-27
Find all providers in zip 83704

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891256004 Ryan Thompson Internal Medicine 400 W Fort St # 111r, Boise, ID 83702-4531 2019-03-29
1518311679 Samantha Hersrud Internal Medicine 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 2016-04-14
1649634718 Elizabeth Ann Schackmann Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2016-04-05
1134513088 Alex Tanabe Internal Medicine 1000 E Park Blvd, Boise, ID 83712-7791 2015-03-27
1104169283 Jacqueline Kelly Internal Medicine 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 2013-03-27
1083980734 Shanaz Sikder Internal Medicine 403 S 11th St Ste 100, Boise, ID 83702 2012-03-27
1679869473 Allyson J Komori Internal Medicine 500 W Fort St # 111, Suite 202, Boise, ID 83702-4501 2011-06-21
1982929048 Sarita Anisha Kishore Internal Medicine 1970 Toluka Way, Boise, ID 83712-8547 2010-04-01
1568796282 Life Quest Center Inc Internal Medicine 3355 N Five Mile Rd, Ste 284, Boise, ID 83713-3925 2009-09-28
1164673968 Jenifer L Barry Internal Medicine 1525 S Owyhee St, Boise, ID 83705-6014 2008-10-10
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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