Individual
THAD W WILKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2101 N WHITLEY DR, FRUITLAND, ID 83619-2132
(208) 452-5999
(208) 452-4499
Mailing address
2101 N WHITLEY DR, FRUITLAND, ID 83619-2132
(208) 452-5999
(208) 452-4499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA280
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138646
BLUE SHIELD
ID
01
—
000010139188
BLUE SHIELD
ID
01
—
000010147742
BLUE SHIELD
ID
05
—
806348800
—
ID
01
—
970026445
RAILROAD MEDICARE
ID
01
—
PACB4
BLUE CROSS
ID
01
—
PACC2
BLUE CROSS
ID
01
—
PANX1
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
01/25/2021
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