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

Dr. Kevin J Wilson, MD

Individual provider Family Medicine Physician · NPI 1225080732

Dr. Kevin J Wilson, MD is a Family Practice in Meridian, Idaho. Graduated from University of Utah School of Medicine in 2003, 23 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
23
Trained at
University of Utah School of Medicine
Licensed in
ID
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

3140 W Milano Dr Ste 150
Meridian, ID 83646-7290
Phone: (208) 887-4775
Fax: (208) 888-1344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M9669 (ID)

Record details

NPI number1225080732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESAugust 21, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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