Individual provider · Type 1 NPI

Kelvin Earl Wynn, MD

Family Medicine Physician · Peoria, IL

NPI number 1104928639 Active

Practice location

815 Main St Ste A
Peoria, IL 61602-1080

Call (309) 672-4977 Map

Other practice locations

  • 2148 Vadalabene Dr, Maryville, IL 62062-5632 · (618) 877-4420

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X34210 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11 other providers at this address

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About NPI 1104928639

Kelvin Earl Wynn, MD's National Provider Identifier is 1104928639, issued on Sep 4, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Peoria, IL. The record was last updated on Feb 4, 2026.