Individual
DR. SHIRLEY A WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PH.D.
Contact information
Practice address
601 S FLOYD ST, SUITE 801, LOUISVILLE, KY 40202-1835
(502) 852-7049
(502) 852-7202
Mailing address
601 S FLOYD ST, SUITE 801, LOUISVILLE, KY 40202-1835
(502) 852-7049
(502) 852-7202
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
19671
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64196710
—
KY
Enumeration date
07/26/2005
Last updated
01/09/2013
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