NPI 1699035030

Theodore Ernest Wilson, MD

Practitioner Clinical Genetics (M.D.) Physician Louisville, KY

Practice location

Address: 411 E Chestnut St, Louisville, KY 40202-1713
Phone: (502) 588-0850
Fax: (502) 588-0861
Mailing address: PO Box 776879, Chicago, IL 60677-6789

Registered specialties (4)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence TP230 (KY)

Other Medical Genetics providers in Kentucky →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 01079354A (IN)

Other Pediatrics providers in Kentucky →

Clinical Genetics (M.D.) Physician

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 01079354A (IN)

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence P27658 (MD)

Registry record

NPI: 1699035030
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2012
Record last updated: 24 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.