Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 6883 | KY |
Y | 213EG0000X | General Practice | 6883 | KY |
NPI | 1003949967 |
---|---|
Provider Name | Dr. Kimberly F. Wilkins |
First Address | Lexington, KY 40509-1828 |
Second Address | Lexington, KY 40509-1828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |