Individual provider · Type 1 NPI

Ken Wilson, DC

Chiropractor · Ham Lake, MN

NPI number 1508410101 Active

Practice location

3238 171st Ave NE
Ham Lake, MN 55304-5115

Call (612) 802-3646 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6350 (MN)

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 1508410101

Ken Wilson, DC's National Provider Identifier is 1508410101, issued on Jul 31, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ham Lake, MN. The record was last updated on Jul 31, 2019.