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

Kisha Wilson

Individual provider Pediatrics Physician · NPI 1053585703

Kisha Wilson is a Pediatrics Physician in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008

Practice location Address checks out

1405 Adams Lake Blvd SE
Atlanta, GA 30339-3389
Phone: (614) 352-9672
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 001609 (GA)

Record details

NPI number1053585703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2008
Last updated in NPPESApril 18, 2008
Mailing address1405 Adams Lake Blvd Se, Atlanta, GA 30339-3389

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