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

Dr. Kelvin Earl Wynn, MD

Individual provider Family Medicine Physician · NPI 1104928639

Dr. Kelvin Earl Wynn, MD is a Family Practice in Peoria, Illinois. Graduated from Howard University College of Medicine in 1988, 38 years ago. Practices with Methodist Medical Center of Illinois, a 393-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
38
Trained at
Howard University College of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

815 Main St Ste A
Peoria, IL 61602-1080
Phone: (309) 672-4977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2148 Vadalabene Dr, Maryville, IL 62062-5632 — (618) 877-4420

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34210 (NC)

Record details

NPI number1104928639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 4, 2006
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Methodist Medical Center Of Illinois — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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