Wilson, Kenneth M
Wilson, Kenneth M is an sole proprietor health care provider with primary practice located at 700 Bellevue St Se Suite 260, Salem OR 97301-3819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Wilson, Kenneth M can be contacted via phone (503) 375-3636.Contact Information
Primary practice address
700 Bellevue St Se Suite 260
Salem OR 97301-3819
Phone: (503) 375-3636
Fax: (503) 375-3737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | MD16217 | Oregon |
Profile Details
| NPI number | 1558388025 |
|---|---|
| LBN Legal business name | Wilson, Kenneth M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 23rd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558388025 | NPPES |
| Oregon | MEDICAID | 045336 |
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