Individual
DR. HOWARD KENDALL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3390 COLONIAL AVE, ROANOKE, VA 24018
(540) 776-0101
(540) 776-7873
Mailing address
PO BOX 20382, ROANOKE, VA 24018-0039
(540) 776-0101
(540) 776-7873
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001092
VA
111N00000X
Chiropractor
21170
CA
Other
Enumeration date
02/14/2006
Last updated
08/01/2018
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