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Individual

KYLE WILGUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3032 ALVEY PARK DR W STE 100, OWENSBORO, KY 42303-2191
(270) 925-1553
Mailing address
3032 ALVEY PARK DR W STE 100, OWENSBORO, KY 42303-2191
(270) 925-1553

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
262082
KY

Other

Enumeration date
09/15/2020
Last updated
09/15/2020
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