Individual provider · Type 1 NPI

Kent Shannon Wilson, MD

Otolaryngology Physician · Woodbury, MN

NPI number 1922044288 Active

Practice location

2080 Woodwinds Drive, #120
Woodbury, MN 55125

Call (651) 702-0750 Map

Fax (651) 702-0749

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X17805 (MN)
Surgery Physician 208600000X17805 (MN)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1922044288

Kent Shannon Wilson, MD's National Provider Identifier is 1922044288, issued on Jun 22, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Woodbury, MN. The record was last updated on Dec 4, 2009.