Wilson, Ken

Wilson, Ken is an individual health care provider with primary practice located at 3238 171St Ave Ne , Ham Lake MN 55304-5115. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wilson, Ken can be contacted via phone (612) 802-3646.

Contact Information

Primary practice address
3238 171St Ave Ne Ham Lake MN 55304-5115
Phone: (612) 802-3646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6350 Minnesota

Profile Details

NPI number 1508410101
LBN Legal business name Wilson, Ken
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2019
Last updated Jul 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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