Individual
DR. KYNA WEIDMAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
209 E BROADWAY AVE, MONTESANO, WA 98563-3705
(360) 249-2700
Mailing address
209 E BROADWAY AVE, MONTESANO, WA 98563-3705
(360) 249-2700
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
603135337
WA
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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