Individual
KEVIN ALAN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(866) 624-7637
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200432
LA
363LG0600X
Gerontology Nurse Practitioner
200432
LA
Other
Enumeration date
12/27/2018
Last updated
01/27/2026
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