KENNETH M. WILSON, M.D., P.C.

SALEM, OR
NPI1245662410
Entity TypeOrganization
Authorized ContactKENNETH MITCHELL WILSON
President
936-777-2255
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: OR  MD16217)
Enumeration Date2013-07-30
Last Update Date2013-07-30
Business Address
KENNETH M. WILSON, M.D., P.C.
700 BELLEVUE ST SE STE 260
SALEM, OR 97301-3888
Phone number: 503-375-3636
Mailing Address
KENNETH M. WILSON, M.D., P.C.
PO BOX 1168
CANBY, OR 97013-1168
Phone number: 936-777-2255
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