Individual
SARAH JANE WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 588-7450
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-7450
(502) 589-1256
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125060364
IL
208000000X
Pediatrics Physician
Primary
53138
KY
2080P0202X
Pediatric Cardiology Physician
TP648
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100619660
—
KY
Enumeration date
04/04/2011
Last updated
10/29/2020
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