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DR. KEN WILSON DC
NPI 1508410101
Chiropractor in Ham Lake, MN

Active since July 31, 2019
3238 171ST AVE NE, HAM LAKE, MN 55304(612) 802-3646 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ken Wilson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEN WILSON DC (NPI 1508410101) is an individual chiropractor in Ham Lake, Minnesota, licensed in Minnesota (6350) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1508410101
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEN WILSONCredential: DC
Location Address3238 171ST AVE NEHam Lake, MN 55304-5115
Mailing Address3238 171st Ave NeHam Lake, MN 55304-5115
Phone(612) 802-3646
Sole ProprietorNo
Enumeration DateJuly 31, 2019
✔ NPI 1508410101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6350
Definition
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.
3238 171ST AVE NE, Ham Lake, MN 55304
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Wilson's NPI number?

The NPI number for Ken Wilson is 1508410101. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Ken Wilson located?

Ken Wilson practices at 3238 171st Ave NE, Ham Lake, MN 55304. The listed phone number is (612) 802-3646.

What is Ken Wilson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ken Wilson was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.