Individual
DR. HEATHER-LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1050 US HIGHWAY 27 S, SUITE 1, CYNTHIANA, KY 41031-5997
(859) 508-3200
(859) 508-3201
Mailing address
219 N HAMILTON ST, GEORGETOWN, KY 40324-1719
(502) 316-8064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4627
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85003259
—
KY
Enumeration date
09/01/2006
Last updated
09/03/2014
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