Dr. Kenneth M Wilson
Surgery of the Hand
700 Bellevue St Se Suite 260
Salem
, Oregon 97301-3819
Dr. Kenneth M Wilson
Surgery of the Hand
700 Bellevue St Se Suite 260
Salem
, Oregon 97301-3819
(936) 777-2255
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Kenneth M Wilson
- Po Box 1168
- Canby, OR
- Zip : 97013-1168
- Phone : (936) 777-2255
Second Address
- Dr. Kenneth M Wilson
- 700 Bellevue St Se Suite 260
- Salem, OR
- Zip : 97301-3819
- Fax : (503) 375-3737
- Phone : (503) 375-3636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | MD16217 | OR |
National Provider Identifier
| NPI | 1558388025 |
|---|---|
| Provider Name | Dr. Kenneth M Wilson |
| First Address | Canby, OR 97013-1168 |
| Second Address | Salem, OR 97301-3819 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 23/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 045336 | (05) | OR |
| E79234 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.