DR. KENNETH SPENCER WILSON (NPI# 1366400707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366400707 |
| Entity Type | Individual |
| Full Name | DR. KENNETH SPENCER WILSON |
| Other Name | MS. KRISTIN LEEAN WILSON |
| Credential | PHD |
| Practice Address |
501 S Johnstone Ave Bartlesville OK 74003-6609 |
| Mailing Address |
501 S Johnstone Ave Bartlesville OK 74003-6638 |
| Practice Telephone | 9183376050 |
| Practice Fax Number | 9183366061 |
| Mailing Telephone | 9183376050 |
| Mailing Fax Number | 9183366061 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
966 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563735 | Kenneth Lamar Wilson | Counselor | 1155 Westmoreland Dr Ste 114, El Paso, TX 79925-5623 | 2018-10-06 |
| 1336506641 | Kenneth Jerome Wilson II | Counselor | 5 Lavender Ln, Springfield, MA 01129-1708 | 2016-01-19 |
| 1780860692 | Kenneth James Wilson | Counselor | 1323 Watts St, Durham, NC 27701-1134 | 2008-01-10 |
| 1629260344 | Kenneth D Wilson | Counselor | 915 Nipsic Ave, Bremerton, WA 98310-4837 | 2007-08-16 |
| 1396854915 | Kenneth Monroe Wilson | Physical Therapist | 1355 Maple Street, Farmington, MO 63640 | 2006-08-29 |
| 1508873373 | Kenneth Robert Wilson | Dentist | 13764 E Quincy Ave, Aurora, CO 80015-1129 | 2006-08-02 |
| 1205896586 | Kenneth Hugh Wilson | Psychologist | 3333c Dayton Xenia Road, Beavercreek, OH 45432-2764 | 2006-03-23 |
| 1902871742 | Kenneth Louis Wilson | Surgery | One Hurley Plaza, Flint, MI 48503 | 2006-02-22 |
| 1598387458 | Kenneth Wilson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2020-05-14 |
| 1093244410 | Kenneth M. Wilson | Counselor | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512 | 2017-06-08 |
| Street Address |
501 S JOHNSTONE AVE |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74003-6609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629324959 | Stacy Lee | Psychologist | 501 S Johnstone Ave, Suite 503, Bartlesville, OK 74003-6622 | 2012-07-24 |
| 1710293493 | Hannah Renee Feuerborn | Counselor | 501 S Johnstone Ave, Suite 510, Bartlesville, OK 74003-6622 | 2010-08-19 |
| 1659697589 | Rebekah Grace Koll | Counselor | 501 S Johnstone Ave, Bartlesville, OK 74003-6622 | 2010-04-16 |
| 1780825158 | Behavioral Health Group of Northeastern Oklahoma | Counselor | 501 S Johnstone Ave, Suite 510, Bartlesville, OK 74003-6622 | 2009-03-16 |
| 1356426381 | Kristin Leean Wilson | Counselor | 501 S Johnstone Ave, Suite 503, Bartlesville, OK 74003-6622 | 2006-10-26 |
| 1144326265 | Wilson Psychological Associates Pllc | Psychologist | 501 S Johnstone Ave, Suite 503, Bartlesville, OK 74003-6622 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1780226506 | Heather Leigh Shoesmith | Speech-Language Pathologist | 117 West 5th Street, Bartlesville, OK 74003 | 2019-10-14 |
| 1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
| 1396209359 | Newview Oklahoma Inc. | Occupational Therapy Assistant | 102 Sw Frank Phillips Blvd, Bartlesville, OK 74003 | 2019-01-24 |
| 1952762403 | Lee Ann Bond | Case Manager/Care Coordinator | 700 S.w. Penn Ave, Bartlesville, OK 74003 | 2016-03-11 |
| 1194102897 | Tiffany Jones | Case Manager/Care Coordinator | 1679 S Oal Ave, Bartlesville, OK 74003 | 2015-05-01 |
| 1073913125 | Kaileigh Jo Johnson | Behavioral Analyst | 700 S. Pen Ave, Bartlesville, OK 74003 | 2014-08-26 |
| 1699190595 | Mindy Karyl Mccoy | Occupational Therapist | 7256 Cr 2145, Bartlesville, OK 74003 | 2014-02-28 |
| 1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
| 1265876122 | Teri G Woodward | Community Health Worker | 325 S Osage, Bartlesville, OK 74003 | 2013-04-23 |
| Find all providers in zip 74003 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235556911 | Christopher Bowles | Psychologist | 1613 King Dr, Apartment 721, Bartlesville, OK 74006-4939 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267965 | Oklahoma Counseling Professionals | Psychologist | 2123 Sw 119th St Ste B, Oklahoma City, OK 73170-3440 | 2019-10-23 |
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1386096659 | Thomas Collins | Psychologist | 333 W Michael Dr, Midwest City, OK 73110-3319 | 2016-07-11 |
| 1164887170 | Suzan B. Simmons, Ph.d,,pllc | Psychologist | 1916 Lake Rd, Ponca City, OK 74604-4800 | 2015-12-17 |
| 1760882807 | Janet Marie Mcmahan | Psychologist | 53479 Cut Off Rd, Talihina, OK 74571-2371 | 2014-08-26 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1497187215 | Diane Yvonne Genther | Psychologist | 100 N University Dr., 402, Uco Student Counseling, Nigh University Center, Edmond, OK 73034-5209 | 2013-08-02 |
| 1861839367 | Candace Dawn Marzett | Psychologist | 2213 N Zenith Ave, Tulsa, OK 74127-2234 | 2013-05-24 |
| 1700126588 | Margaret Lee Zingman | Psychologist | 204 W 8th St, Chandler, OK 74834-2604 | 2013-02-15 |
| 1952647406 | Billy Van Ray | Psychologist | 2925 Berkley Dr, Edmond, OK 73034-4153 | 2013-01-02 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74003 |
Please comment or provide details below to improve the information on DR. KENNETH SPENCER WILSON.
| 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.