Kenneth Illson, DC

NPI #1659554525 in Aliso Viejo, California

Provider Information

NPI Number: 1659554525
Entity Type: Individual
Name: Kenneth Illson, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 13, 2007
Last Updated: Dec 26, 2007

Practice Location

Address: 27 STYLE DR
City: Aliso Viejo
State: California
ZIP Code: 92656-8090
Phone: (949) 215-1310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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