Individual
DR. KENNETH ROGER WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 MANETTO HILL RD, PLAINVIEW, NY 11803
(516) 938-3866
(516) 938-4596
Mailing address
146 MANETTO HILL RD, PLAINVIEW, NY 11803
(516) 938-3866
(516) 938-4596
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD116762
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00679034
—
NY
Enumeration date
07/26/2006
Last updated
02/27/2010
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