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1558388025
KENNETH M WILSON
SALEM, OR
NPI
1558388025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0105X Surgery, Surgery of the Hand
(Licence: OR MD16217)
Enumeration Date
2006-07-17
Last Update Date
2013-07-23
Business Address
Dr. KENNETH M WILSON MD
700 BELLEVUE ST SE SUITE 260
SALEM, OR 97301-3819
Phone number: 503-375-3636
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Mailing Address
Dr. KENNETH M WILSON MD
PO BOX 1168
CANBY, OR 97013-1168
Phone number: 936-777-2255
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