KEVIN POUL WILSON


Address: 1819 N Dover St, Independence, MO 64058-1231
Phone: 8167969875

KEVIN POUL WILSON (NPI# 1437488749) 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) 1437488749
Entity Type Individual
Full Name KEVIN POUL WILSON
Credential LPC
Practice Address 1819 N Dover St
Independence
MO 64058-1231
Practice Telephone 8167969875
Mailing Telephone 8167969875
Enumeration Date 2009-12-15
Last Update Date 2014-11-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2009033311 MO Behavioral Health & Social Service Providers

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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
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
1134750748 Kevin Robert Wilson Pharmacist 4995 Highland Rd, Waterford, MI 48328-1143 2020-02-01

Office Location

Street Address 1819 N DOVER ST
City INDEPENDENCE
State MO
Zip Code 64058-1231

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952777179 Michelle Armilio Speech-Language Pathologist 2101 N. Twyman Road, Independence, MO 64058 2015-08-12
1912046079 Jessica M Isaacson Speech-Language Pathologist 2101 N Twyman Rd, Independence, MO 64058 2007-02-05
1336508852 Janelle Deblock Counselor 3205 N Twyman Rd, Independence, MO 64058 2016-02-11
1043873052 Lee Harris Counseling LLC Clinic/Center 1404 N Cherokee St, Independence, MO 64058-1106 2019-04-16
1316009244 Cheryl Spurgeon Speech-Language Pathologist 1901 N Lazy Branch Rd, Independence, MO 64058-1241 2006-12-15
1699905810 Katrina Joy Hall Speech-Language Pathologist 2106 N Ponca Dr, Independence, MO 64058-1251 2009-07-22
1538610068 Tracie Janeann Krysa Physical Therapy Assistant 1917 N Colony Ln, Independence, MO 64058-1311 2016-10-19
1326460502 Rita's Hearing Center and Repairs Durable Medical Equipment & Medical Supplies 1914 N Plymouth Rd, Independence, MO 64058-1321 2014-01-07
1922650399 Rita Michelle Harman Hearing Instrument Specialist 1914 N Plymouth Rd, Independence, MO 64058-1321 2019-07-15
1275180259 Victoria Patricia Larkin Technician 19110 E Park St, Independence, MO 64058-1371 2019-08-23
Find all providers in zip 64058

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407454580 Ruth A Stoan Counselor 1308 W Waldo Ave, Independence, MO 64050-2544 2020-10-12
1679030308 Mallory Krolikowski Counselor 6408 Hillside Rd, Independence, OH 44131-5336 2019-02-28
1730665894 James Parker Counselor 4231 S Hocker Dr, Independence, MO 64055-4723 2018-07-12
1346776135 Jackie Ransom, Lpc, LLC Counselor 10700 E Westport Rd, Independence, MO 64052-3470 2017-05-11
1083151666 Michael E French Counselor 18610 E 37th Ter S, Independence, MO 64057-1707 2017-01-20
1427591353 Clint Thomas LLC Counselor 18201 E 26th Street Ct S, Independence, MO 64057-2409 2016-11-25
1730622812 Jared A Watson Counselor 2904 S Vista Ct, Independence, MO 64057-1937 2016-11-22
1942751045 Mary C Younger Counselor 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 2016-10-24
1629431507 Patricia Lynn Berger Counselor 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 2016-03-30
1033593603 Paul Francis Counselor 1805 N Blue Mills Rd, Independence, MO 64058-1703 2015-07-14
Find all providers in INDEPENDENCE

Competitor

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City INDEPENDENCE
Zip Code 64058

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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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