IndividualActive
Ronald Wilson, M.D.
NPI 1376511063 · Internal Medicine Physician · Paducah, KY
Provider details
- NPI number
- 1376511063
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22453 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4620 Village Square Drive
Suite 101
Paducah, KY 42001-7501
Phone: (270) 442-8575
Fax: (270) 442-8783
Street-level locationGet directions
Mailing address
Po Box 734839
Chicago, IL 60673-4839
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.