MRS. Kimberly Michelle Wilson, L.M.P. AND L.A.C.

NPI #1932269313 in Centralia, Washington

Provider Information

NPI Number: 1932269313
Entity Type: Individual
Name: MRS. Kimberly Michelle Wilson, L.M.P. AND L.A.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.M.P. AND L.A.C.
Enumeration Date: Dec 8, 2006
Last Updated: Nov 23, 2011

Practice Location

Address: 1800 COOKS HILL RD
Address 2: SUITE A
City: Centralia
State: Washington
ZIP Code: 98531
Phone: (360) 736-2853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Acupuncturist	171100000X	Primary

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