| Kristan Wilson Llc | |
|
23 N Gore Ave, Ste 210, Webster Groves, MO 63119-2300 | |
| (314) 961-7605 | |
| Not Available |
| Full Name | Kristan Wilson Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 23 N Gore Ave, Webster Groves, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225487853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2016013991 (Missouri) | Primary |
| Provider Name | Kristan Marchelle Wilson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992150395 PECOS PAC ID: 3375575731 Enrollment ID: I20160616000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristan Wilson Llc 23 N Gore Ave, Ste 210, Webster Groves, MO 63119-2300 Ph: (314) 961-7605 | Kristan Wilson Llc 23 N Gore Ave, Ste 210, Webster Groves, MO 63119-2300 Ph: (314) 961-7605 |
Dr. Joseph Timothy Lane, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 604 E. Lockwood, Webster Groves, MO 63119 Phone: 314-968-4696 | |
Michael Chi-fu Weng, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7501 Big Bend Blvd, Webster Groves, MO 63119 Phone: 314-644-5333 Fax: 314-961-8884 | |
Dr. Geoffrey Donald Norton, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 23 N Gore Ave, Suite 208, Webster Groves, MO 63119 Phone: 314-961-7605 | |
Dr. Sharon Whalen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 W Lockwood Ave, Webster Groves, MO 63119 Phone: 314-962-6015 | |
Dr. Adam R Tanase, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8057 Watson Rd, Webster Groves, MO 63119 Phone: 314-749-9006 | |
Mrs. Brettany Lee Hummert, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 23 N Gore Ave, Ste 210, Webster Groves, MO 63119 Phone: 314-991-5655 Fax: 314-991-4872 |