Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connor Keith Wilson, MD, MPH

Individual provider Emergency Medicine Physician · NPI 1891369906

Connor Keith Wilson, MD, MPH is an Emergency Medicine in Providence, Rhode Island. Graduated from University of Arkansas College of Medicine in 2021, 5 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group. Licensed in Massachusetts and Rhode Island.

Years since qualifying
5
Trained at
University of Arkansas College of Medicine
Licensed in
MA, RI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-6489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1022809 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence LP05312 (RI)

Record details

NPI number1891369906
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedMay 14, 2021
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address593 Eddy St, Providence, RI 02903-4923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated

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