IndividualActive
Kevin Wilson, MD
NPI 1780701003 · Otolaryngology Physician · Draper, UT
Provider details
- NPI number
- 1780701003
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7577039-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
96 E Kimballs Ln
Ste 309
Draper, UT 84020-5021
Phone: (801) 260-3687
Fax: (801) 260-3688
Approximate (ZIP-level) locationGet directions
Mailing address
96 E Kimballs Ln
Draper, UT 84020-5021
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2025-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.