Individual
KENNETH R WILKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
W63N541 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 375-2195
(262) 375-2273
Mailing address
W63N541 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 375-2195
(262) 375-2273
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
600-039
WI
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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