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Kevin William Wilson, DO

Internal Medicine Physician in Boise, ID · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174633085

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Registry record

Entity type Individual (Type 1)
Name Kevin William Wilson
Credential DO
Sex Male
Practice address 5966 W Curtisian Ave, Boise, ID, 83704
Phone (208) 302-5400
Fax (208) 302-5455
Enumeration date Aug 30, 2006
Last updated in NPPES Aug 13, 2020

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License O-1071 (ID) Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 2688 (AZ) Secondary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
110388 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1174633085 active?
Yes, as of the latest NPPES snapshot, NPI 1174633085 is active (record last updated 2020-08-13).
How do I verify Kevin Wilson's NPI record?
Cross-check NPI 1174633085 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-13.