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General NPI Number Information
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NPI Number | 1730192162
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Entity Type | Individual
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Provider Name | KENDALL LEVELL WILSON DC
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2 INNWOOD CIR STE C
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2490
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Country | US
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Telephone | 501-280-0250
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Fax | 501-280-0260
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Provider Business Mailing Address
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Address Line | PO BOX 3554
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City | LITTLE ROCK
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State | AR
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Zip | 72203-3554
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Country | US
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Telephone | 501-658-9000
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Fax | 501-280-0260
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1681
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License Number State | AR
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