Individual provider
DR. KYLE LEE WILSON, CRNA
CMS NPPES lists DR. KYLE LEE WILSON as an individual provider record with NPI 1770470478. The current record reports a primary practice location in ALEXANDER, AR and primary taxonomy code 367500000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location257 REUBEN DRALEXANDER, AR 720027032
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
367500000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- June 24, 2025
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.