SearchNew Mexico183500000X

Kenneth Wilson, PHARMD

NPI 1598387458 · on the registry since 2020

Practice

Address
Hwy 491 North
Shiprock, NM 87420
Phone
(505) 368-6001
Clinicians at this address
19

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico