Individual
DR. KEITH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1717 AMWELL ROAD, SOMERSET, NJ 08873
(732) 873-8575
(732) 873-8575
Mailing address
22 NINA COURT, SOMERSET, NJ 08873
(732) 873-1355
(732) 873-8575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00175300
NJ
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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