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

Edla Kalu Wilson III

Individual provider Case Manager/Care Coordinator · NPI 1245166172

Edla Kalu Wilson III is a Case Manager/Care Coordinator in Riverton, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

12760 S Park Ave Unit 520
Riverton, UT 84065-3422
Phone: (801) 382-8016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (UT)

Record details

NPI number1245166172
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2026
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

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