Wilson Chiropractic And Wellness
Chiropractor, Sports Physician in Wichita, KS. Organization (NPI-2).
NPI number1982014205
StatusActive
Last updated in NPPESMay 8, 2014
Details
- NPI
- 1982014205
- Entity type
- Organization (NPI-2)
- Legal business name
- Wilson Chiropractic And Wellness
- Organization subpart
- No
- Enumeration date
- May 8, 2014
- Last updated
- May 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 0104695 | KS | Yes |
Practice location
1632 N Porter AveWichita, KS 67203-2921
Phone 316-304-9450
Mailing address
1632 N Porter AveWichita, KS 67203-2921
Phone 316-304-9450
Authorized official
Michael Wilson
Ceo
3163049450
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Other Sports Physician Chiropractor providers in Wichita, KS
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