Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D3444 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | D3444 | TX |
NPI | 1285640847 |
---|---|
Provider Name | Kaye E Wilkins |
First Address | San Antonio, TX 78229-3901 |
Second Address | San Antonio, TX 78207-3108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 30/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
125043308 | (05) | TX |