Organization
KENNETH R. WILKES M.D P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ROGER WILKES M.D. (PRESIDENT)
(516) 938-3866
Entity
Organization
Contact information
Practice address
146 MANETTO HILL ROAD, PLAINVIEW, NY 11803
(516) 938-3866
Mailing address
146 MANETTO HILL ROAD, PLAINVIEW, NY 11803
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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