Kenneth Illson is a Chiropractor in Aliso Viejo, California. Kenneth Illson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenneth Illson is 1659554525. The last update date is 2007-12-26.
Kenneth Illson's current location address is 27 Style Dr, Aliso Viejo, California. You can contact this provider via phone number 9492151310. The mailing address for Kenneth Illson is 27 Style Dr, Aliso Viejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Illson |
|---|---|
| Address | 27 Style Dr, Aliso Viejo, California |
| Phone Number | 9492151310 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1659554525 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2007-12-26 |
Provider Mailing Address Detail
| Address | 27 Style Dr |
|---|---|
| City | Aliso Viejo |
| State | California (CA) |
| Post Code | 926568090 |
| Phone Number | 9492151310 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC17202 |
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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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC17202 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Illson by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Illson has been assigned the NPI (National Provider Identifier) 1659554525. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kenneth Illson?
The Kenneth Illson is situated at 27 Style Dr, in the city of Aliso Viejo, state of CA, with the zip code 926568090.
What is Kenneth Illson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Illson's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Kenneth Illson receive its 1659554525 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Illson was assigned its 1659554525 by the Centers for Medicare & Medicaid Services on 2007-12-13.
As of what date were the details pertaining to Kenneth Illson last refreshed?
The information related to the Kenneth Illson, including its address, specialty, and other relevant details, was last updated on 2007-12-26.