David Demetrius Wilson, DC, MS

Chiropractor · Lees Summit, MO

Individual Active NPI

NPI number 1245856418

Practice location

338 SW Main St
Lees Summit, MO 64063-2340
Phone
(816) 600-5483

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NPI record

NPI
1245856418
Entity type
Individual (Type 1)
Enumeration date
June 23, 2020
Last updated
June 23, 2020
Certified
June 23, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 2019040226 MO

Mailing address

1627 SW Manor Lake Dr
Lees Summit, MO 64082-4183

About Dr. Wilson

David Demetrius Wilson, DC, MS is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 338 SW Main St, Lees Summit, MO 64063-2340. The NPI number 1245856418 was assigned on June 23, 2020 and the record was last updated on June 23, 2020.

Dr. Wilson lists a license in the registry: #2019040226 (MO) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Demetrius Wilson, DC, MS?

The NPI number is 1245856418.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (816) 600-5483.

Where is Dr. Wilson located?

338 SW Main St, Lees Summit, MO 64063-2340.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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