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

Mr. Kent Shannon Wilson, MD

Individual provider Otolaryngology Physician · NPI 1922044288

Mr. Kent Shannon Wilson, MD is an Otolaryngology Physician in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

2080 Woodwinds Dr #120
Woodbury, MN 55125
Phone: (651) 702-0750
Fax: (651) 702-0749
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 17805 (MN)
Surgery Physician Taxonomy 208600000X · Licence 17805 (MN)

Record details

NPI number1922044288
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESDecember 4, 2009

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