Individual
KALEB WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
859 SOUTH MAIN ST., MALTA, OH 43758
(740) 962-6111
Mailing address
2525 VIRGINIA RIDGE RD, PHILO, OH 43771-9762
(740) 891-0374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.386473
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.024327
OH
Other
Enumeration date
01/24/2019
Last updated
05/11/2021
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