Kristan Wilson LLC
NPI #1225487853 in Webster Groves, Missouri
Provider Information
- NPI Number
- 1225487853
- Entity Type
- Organization
- Organization Name
- Kristan Wilson LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 4, 2016
- Last Updated
- Jun 15, 2016
Practice Location
- Address
- 23 N GORE AVE
- Address 2
- STE 210
- City
- Webster Groves
- State
- Missouri
- ZIP Code
- 63119-2300
- Phone
- (314) 961-7605
Authorized Official
- Name
- DR. KRISTAN WILSON, D.C.
- Title
- OWNER
- Phone
- (314) 961-7605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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