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DR. KYLE RICHARD IKAIKA WILSON DC NPI 1942898358


NPI Information

NPI: 1942898358
Provider Name: DR. KYLE RICHARD IKAIKA WILSON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4001 MAIN ST STE 200
VANCOUVER, WA
ZIP 98663
Phone: (360) 693-3030
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DR. Kyle Richard Ikaika Wilson, DC is a chiropractor in Vancouver, WA with 4 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Kyle Richard Ikaika Wilson, DC NPI is 1942898358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN STATES COLLEGE OF CHIROPRACTIC
Graduation Year:2020

The provider's business location address is:

4001 MAIN ST STE 200
VANCOUVER, WA
ZIP 98663-894
Phone: (360) 693-3030

The NPI 1942898358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/2/2021 and was last updated on 1/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor61129517WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.