Individual
DR. JON DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10850 LOWELL AVE, OVERLAND PARK, KS 66210-1613
(913) 234-0700
(913) 234-0909
Mailing address
10850 LOWELL AVE, OVERLAND PARK, KS 66210-1613
(913) 234-0700
(913) 234-0909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05412
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34662014
BCBS
—
01
—
P00174189
RR MEDICARE
—
Enumeration date
06/06/2006
Last updated
09/10/2015
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