Organization · Type 2 NPI

Kenneth M. Wilson, M.d., P.c.

Specialist · Salem, OR

NPI number 1245662410 Active

Practice location

700 Bellevue St SE Ste 260
Salem, OR 97301-3888

Call (503) 375-3636 Map

Fax (503) 375-3737

Mailing address

PO Box 1168
Canby, OR 97013-1168

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD16217 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245662410

Kenneth M. Wilson, M.d., P.c.'s National Provider Identifier is 1245662410, issued on Jul 30, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Salem, OR. The record was last updated on Jul 30, 2013.