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

Mr. Kerry Thomas Wilson Jr.

Individual provider Family Nurse Practitioner · NPI 1871414136

Mr. Kerry Thomas Wilson Jr. is a Family Nurse Practitioner in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2026.

Licensed in
KY
In the registry since
2026

Practice location Address checks out

100 Mallard Creek Rd
Louisville, KY 40207-4194
Phone: (502) 894-2484
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4060823 (KY)

Record details

NPI number1871414136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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