Individual provider · Type 1 NPI

Kylie Elizabeth Wilson

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1649100959 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (208) 885-6111 Map

Mailing address

2354 White Ave Apt 204
Moscow, ID 83843-5109

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649100959

Kylie Elizabeth Wilson's National Provider Identifier is 1649100959, issued on May 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on May 20, 2026.