Individual
KEVIN WILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
806 SAINT VINCENTS DR, SUITE 620, BIRMINGHAM, AL 35205-1684
(205) 939-1557
(205) 939-1536
Mailing address
3029 ALTADENA WOODS DR, BIRMINGHAM, AL 35242-4446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1470
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51530024
BCBS OF AL
AL
01
—
7453782
AETNA
AL
Enumeration date
07/11/2006
Last updated
07/08/2007
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