Dr. Kyna Weidman Wilson
Pediatric Chiropractor
209 E Broadway Ave
Montesano
, Washington 98563-3705
Dr. Kyna Weidman Wilson
Pediatric Chiropractor
209 E Broadway Ave
Montesano
, Washington 98563-3705
(360) 249-2700
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About
Features
Specialties
- Pediatric Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Kyna Weidman Wilson
- 209 E Broadway Ave
- Montesano, WA
- Zip : 98563-3705
- Phone : (360) 249-2700
Second Address
- Dr. Kyna Weidman Wilson
- 209 E Broadway Ave
- Montesano, WA
- Zip : 98563-3705
- Phone : (360) 249-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NP0017X | Pediatric Chiropractor | 603135337 | WA |
National Provider Identifier
| NPI | 1154607513 |
|---|---|
| Provider Name | Dr. Kyna Weidman Wilson |
| First Address | Montesano, WA 98563-3705 |
| Second Address | Montesano, WA 98563-3705 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2011 |
| Last Update Date | 31/10/2011 |
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.