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

Keith Alan Wilson, PA

Individual provider Physician Assistant · NPI 1841470507

Keith Alan Wilson, PA is a Physician Assistant in Victorville, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12550 Hesperia Road SUITE100
Victorville, CA 92395-0000
Phone: (760) 241-6666
Fax: (760) 241-7575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18722 (CA)

Record details

NPI number1841470507
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 11, 2007
Last updated in NPPESMarch 27, 2019

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