Individual
DR. KATHY LYNN WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
555 HIGH ST STE 16A, MOUNT HOLLY, NJ 08060-1084
(609) 444-5610
(609) 444-5611
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08335600
NJ
207Q00000X
Family Medicine Physician
OS007161-L
PA
Other
Enumeration date
10/12/2006
Last updated
12/16/2020
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