KENNETH M. WILSON, M.D., P.C.


Address: 700 Bellevue St Se Ste 260, Salem, OR 97301-3888
Phone: 5033753636

KENNETH M. WILSON, M.D., P.C. (NPI# 1245662410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245662410
Entity Type Organization
Organization Name KENNETH M. WILSON, M.D., P.C.
Other Organization Name HAND SURGERY OF OREGON
Practice Address 700 Bellevue St Se Ste 260
Salem
OR 97301-3888
Mailing Address Po Box 1168
Canby
OR 97013-1168
Practice Telephone 5033753636
Practice Fax Number 5033753737
Mailing Telephone 9367772255
Mailing Fax Number 5033753737
Enumeration Date 2013-07-30
Last Update Date 2013-07-30
Authorized Official Name DR. KENNETH MITCHELL WILSON (PRESIDENT)
Authorized Official Telephone 9367772255
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MD16217 OR Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 045336 05

Other Provider/Organization Names

Other Name Type Code
Hand Surgery of Oregon Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names KENNETH M. WILSON, M.D., P.C. 1296 Commercial Street Se, Suite 103, Salem, OR 97301

Office Location

Street Address 700 BELLEVUE ST SE STE 260
City SALEM
State OR
Zip Code 97301-3888

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
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1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265970495 Deanna Lauren Carter Specialist 9 Muse Ter, Salem, NH 03079-2921 2017-02-08
1043763980 Michael Tre Cline Jr. Specialist 1505 Whitaker Dr Se, #201, Salem, OR 97317-5912 2016-07-27
1508213604 Amy Masters Specialist 23190 Zieber Ln Nw, Salem, OR 97304-9631 2016-05-18
1417326398 Lisa K Breslin Specialist 27 Congress St Ste 203, Salem, MA 01970-5576 2015-09-21
1588048656 Carl Bettencourt Specialist 67 Wharf St, Salem, MA 01970-5116 2015-07-17
1689066250 Maxine Trujillo Specialist 191 Mcnary Ave Nw, Salem, OR 97304-4037 2015-02-19
1619379633 Wanda Getz Specialist 4275 Commercial St Se, Salem, OR 97302-4086 2014-09-22
1255753174 Janette Toll Specialist 1898 Court St Ne, Salem, OR 97301-4328 2014-01-12
1912333741 Melanie A Ground Specialist 1967 Brightwood Ct S, Salem, OR 97302-2405 2013-09-25
1053757948 Tina I Smith Specialist 3211 Autumn Chase Way Ne Apt 104, Salem, OR 97305-1561 2013-05-17
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Competitor

Search similar providers

City SALEM
Zip Code 97301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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