Individual
DR. STEPHEN LLOYD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1412 N BROADWAY, STE 206, LEXINGTON, KY 40505-3157
(859) 543-0252
(859) 543-0698
Mailing address
1412 N BROADWAY, STE 206, LEXINGTON, KY 40505-3157
(859) 543-0252
(859) 543-0698
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4883
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382161
ANTHEM
KY
01
—
5795695
AETNA
KY
01
—
641489
AM CHI NETWORK
KY
Enumeration date
10/02/2006
Last updated
09/07/2010
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