MR. KENT SHANNON WILSON (MD) – Otolaryngology Physician, NPI 1922044288

MR. KENT SHANNON WILSON (MD) is a healthcare provider. based in Woodbury, Minnesota. specializing in Otolaryngology Physician. They hold the professional credentials MD. They hold a License No. 17805 (MN). The NPI Number for MR. KENT SHANNON WILSON (MD) is 1922044288

Main info

Male
Name
MR. KENT SHANNON WILSON (MD)
NPI
1922044288
Phone
(651) 702-0750
Address
2080 WOODWINDS DRIVE
Enumeration Date
22 June 2006
Last Update Date
4 December 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. KENT SHANNON WILSON (MD)

  • Midwest Eye & Ear Institute, 2080, Woodwinds Drive, Woodbury, Washington County, Minnesota, 55125, United States

    #120

    WOODBURY, MN 55125

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55125)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. KENT SHANNON WILSON (MD)'s NPI?
Yes. MR. KENT SHANNON WILSON (MD) is listed with NPI 1922044288 in the public NPI dataset.
Can I rely on MR. KENT SHANNON WILSON (MD) being an active provider?
As of the registry snapshot, MR. KENT SHANNON WILSON (MD) is marked active.
What is MR. KENT SHANNON WILSON (MD)'s specialty?
The listing groups MR. KENT SHANNON WILSON (MD) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What area does MR. KENT SHANNON WILSON (MD) serve?
MR. KENT SHANNON WILSON (MD)'s listing highlights Woodbury, Minnesota; more addresses can appear in NPPES.
Why does MR. KENT SHANNON WILSON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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