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FRED KENNETH WILKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 421-2119
Mailing address
PO BOX 861774, ORLANDO, FL 32886-1774

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9225617
FL

Other

Enumeration date
08/19/2005
Last updated
01/23/2008
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