Individual
MS. KATHRYN WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 ROE RD, GREENVILLE, SC 29611-7423
(864) 295-2308
(864) 295-0396
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 295-2308
(864) 295-0396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3201
SC
363A00000X
Physician Assistant
TL3201
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3234PA
—
SC
Enumeration date
04/26/2019
Last updated
06/01/2021
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