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

Kevin William Wilson, DO

Individual provider Internal Medicine Physician · NPI 1174633085

Kevin William Wilson, DO is an Internal Medicine Physician in Boise, Idaho. Licensed in Arizona and Idaho. Registered with an NPI since 2006.

Licensed in
AZ, ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5966 W Curtisian Ave
Boise, ID 83704
Phone: (208) 302-5400
Fax: (208) 302-5455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence O-1071 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2688 (AZ)

Record details

NPI number1174633085
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing address3340 E Goldstone Way, Meridian, ID 83642

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