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

Kristal Lee Ann Wilson, MD

Individual provider Interventional Pain Medicine Physician · NPI 1578853602

Kristal Lee Ann Wilson, MD is an Interventional Pain Management in Louisville, Kentucky. Graduated from University of Louisville School of Medicine in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
15
Trained at
University of Louisville School of Medicine
Licensed in
IN, KY
In the registry since
2011
Specialties on file
2
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

10302 Brookridge Village Blvd Ste 103-104
Louisville, KY 40291-4475
Phone: (502) 276-5300
Fax: (502) 576-5376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 48792 (KY)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 01084557A (IN)

Record details

NPI number1578853602
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2011
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesPAIN MANAGEMENT
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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