DR. KENNETH HUGH WILSON


Address: 3333c Dayton Xenia Road, Beavercreek, OH 45432-2764
Phone: 9374291441

DR. KENNETH HUGH WILSON (NPI# 1205896586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205896586
Entity Type Individual
Full Name DR. KENNETH HUGH WILSON
Credential PSYD
Practice Address 3333c Dayton Xenia Road
Beavercreek
OH 45432-2764
Practice Telephone 9374291441
Mailing Telephone 9374291441
Enumeration Date 2006-03-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2290 OH Behavioral Health & Social Service Providers

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Office Location

Street Address 3333C DAYTON XENIA ROAD
City BEAVERCREEK
State OH
Zip Code 45432-2764

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538789284 Shannon Davis Kaufman Counselor National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 2020-04-23
1215480504 Heather Iaquinta Registered Nurse 1430 Linden Ave., Suite 390, Dayton, OH 45432 2016-08-03
1346586682 Jeffrey Craig Miller Dentist 4450 Linden Ave., Dayton, OH 45432 2012-12-13
1194997718 Paul G Tarlano Dds Inc Dentist 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 2008-03-25
1306018981 Paul Gerald Tarlano Dentist 3621 Dayton Xenia Rd, Beavercreek, OH 45432 2008-03-24
1104035377 Andrew Brody Occupational Therapy Assistant 1974 North Fairfield Road, Beavercreek, OH 45432 2007-05-22
1952476111 Jeffrey C Miller Dds Inc Dentist 4450 Linden Ave, Dayton, OH 45432 2006-11-22
1194898098 Joseph Warren Shiveley Dentist 1555 Marsetta Drive, Dayton, OH 45432 2006-11-16
1710907597 Integrated Youth Services Inc Clinic/Center 1321 Research Park Drive, Dayton, OH 45432 2006-07-21
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1730180647 Lapearl Logan Winfrey Psychologist 1255 N Fairfield Rd Ste 201, Beavercreek, OH 45432-2651 2005-08-02
1003816091 Leanna Elaine Manuel Psychologist 1321 Research Park Dr, Suite 200, Beavercreek, OH 45432-2851 2005-07-31
1730224254 Berthhold Berg Psychologist 1195 Meadow Bridge Dr Ste B, Beavercreek, OH 45434-4302 2007-02-21
1407991862 Dene S Berman Lifespan Counseling Associates Psychologist 1195 Meadow Bridge Dr Ste B, Beavercreek, OH 45434-4302 2007-02-21

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1992346217 Terrace Metrics, Inc. Psychologist 1122 Herschel Ave, Cincinnati, OH 45208-3113 2019-10-08
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Competitor

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City BEAVERCREEK
Zip Code 45432

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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