Individual
DR. KIP R WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4601 DALE RD, 1ST FLOOR SUITE 1A6, DEPARTMENT OF ORTHOPAEDICS, MODESTO, CA 95356-9718
(209) 735-6104
Mailing address
4601 DALE RD, 1ST FLOOR SUITE 1A6, DEPARTMENT OF ORTHOPAEDICS, MODESTO, CA 95356-9718
(209) 735-6104
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5315013798
MI
Other
Enumeration date
05/22/2007
Last updated
12/13/2021
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