KELLY WILKERSON NPI 1114168135

NPI Information

NPI: 1114168135
Provider Name: KELLY WILKERSON
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
1360 N LOUISIANA ST STE D
KENNEWICK, WA
ZIP 99336
Phone: (509) 735-4247
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Kelly Wilkerson is an orthotic fitter in Kennewick, WA. The provider is an individual trained in the management of fitting prefabricated orthoses. Kelly Wilkerson NPI is 1114168135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1360 N LOUISIANA ST STE D
KENNEWICK, WA
ZIP 99336-171
Phone: (509) 735-4247

The enumeration date for this NPI number is 3/20/2009 and was last updated on 3/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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