Individual
DR. KYLE LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
257 REUBEN DR, ALEXANDER, AR 72002-7032
(501) 628-2207
Mailing address
257 REUBEN DR, ALEXANDER, AR 72002-7032
(501) 628-2207
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1208333
TX
367500000X
Certified Registered Nurse Anesthetist
155518
AR
367500000X
Certified Registered Nurse Anesthetist
155518
TX
Other
Enumeration date
06/24/2025
Last updated
03/06/2026
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