DR. PAUL KENT WILSON DPM NPI 1912137217

NPI Information

  • NPI: 1912137217
  • Provider Name: DR. PAUL KENT WILSON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 110 BERMUDA DR
    JONESBOROUGH, TN
    ZIP 37659
  • Phone: (515) 537-7592

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NPI Details

DR. Paul Kent Wilson, DPM is a foot and ankle surgery podiatrist in Jonesborough, TN with 18 years of experience. DR. Paul Kent Wilson, DPM NPI is 1912137217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 BERMUDA DR
JONESBOROUGH, TN
ZIP 37659-166
Phone: (515) 537-7592
Fax: (888) 645-7299

The NPI 1912137217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/21/2009 and was last updated on 6/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery732TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10103301077OTHERVIRGINIAVIRGINIA PODIATRY LICENSE
2732OTHERTENNESSEETENNEESEE PODIATRY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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