NPI 1124248968

Shane Taylor Wilkinson, DC

Practitioner Chiropractor Jennings, LA

Practice location

Address: 1607 Johnson St., Jennings, LA 70546
Phone: (337) 824-5522
Fax: (337) 824-5527

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1735 (LA)

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Registry record

NPI: 1124248968
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2007
Record last updated: 10 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.