Individual provider · Type 1 NPI

Kaleb Joe Wilson, DC

Chiropractor · Normal, IL

NPI number 1336817097 Active

Practice location

1713 Fort Jesse Rd Ste D
Normal, IL 61761-6235

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038013751 (IL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1336817097

Kaleb Joe Wilson, DC's National Provider Identifier is 1336817097, issued on Aug 30, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Normal, IL. The record was last updated on Aug 30, 2021.