Individual provider · Type 1 NPI

Kerry Thomas Wilson Jr., APRN

Family Nurse Practitioner · Louisville, KY

NPI number 1871414136 Active

Practice location

100 Mallard Creek Rd Ste 320
Louisville, KY 40207-5136

Fax (502) 394-1972

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4060823 (KY)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1871414136

Kerry Thomas Wilson Jr., APRN's National Provider Identifier is 1871414136, issued on Jul 23, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Sep 14, 2026.