IndividualActive
Kristal Wilson, MD
NPI 1578853602 · Interventional Pain Medicine Physician · Louisville, KY
Provider details
- NPI number
- 1578853602
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 01084557A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10302 Brookridge Village Blvd Ste 103-104
Louisville, KY 40291-4475
Phone: (502) 276-5300
Fax: (502) 576-5376
Approximate (ZIP-level) locationGet directions
Mailing address
10302 Brookridge Village Blvd Ste 103-104
Louisville, KY 40291-4475
Registry dates
- Enumerated
- 2011-04-11
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.