Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth L Wilson

Individual provider Pharmacist · NPI 1972886067

Kenneth L Wilson is a Pharmacist in Loganville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011

Practice location Address checks out

4398 Atlanta Hwy
Loganville, GA 30052-7314
Phone: (678) 639-0129
Fax: (678) 639-1547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10952 (GA)

Record details

NPI number1972886067
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2011
Last updated in NPPESSeptember 24, 2011

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