Dr Kyle Lee Wilson, CRNA is a 
Nurse Anesthetist, Certified Registered based in Alexander, Arkansas. Dr Kyle Lee Wilson is licensed to practice in Arkansas (license number 155518) and his current practice location is 
257 Reuben Dr, Alexander, Arkansas. He can be reached at his office (for appointments etc.) via phone at 
(501) 628-2207.
NPI number for Dr Kyle Lee Wilson is 1770470478 and his current mailing address is 257 Reuben Dr, Alexander, Arkansas. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770470478.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Dr Kyle Lee Wilson | 
|---|
| Gender | Male | 
|---|
| Speciality | Nurse Anesthetist, Certified Registered | 
|---|
| Location | 257 Reuben Dr, Alexander, Arkansas | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1770470478
 - Provider Enumeration Date: 06/24/2025
 - Last Update Date: 06/24/2025
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Kyle Lee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1770470478 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 367500000X | Nurse Anesthetist, Certified Registered  | 155518 (Texas) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered  | 155518 (Arkansas) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle Lee Wilson is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr Kyle Lee Wilson, CRNA 257 Reuben Dr, Alexander, AR 72002-7032 Ph: (501) 628-2207 | Dr Kyle Lee Wilson, CRNA 257 Reuben Dr, Alexander, AR 72002-7032 Ph: (501) 628-2207 | 
		
		 
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