Individual
DR. JONATHAN DAVID WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1532 LONE OAK RD, SUITE 315, PADUCAH, KY 42003-7913
(270) 538-5880
(287) 538-5870
Mailing address
1532 LONE OAK RD, SUITE 315, PADUCAH, KY 42003-7913
(270) 538-5880
(287) 538-5870
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
43494
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100165020
—
KY
Enumeration date
09/28/2007
Last updated
10/02/2017
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