Individual
KIMBERLY A WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2400 MARYLAND RD, STE 30, WILLOW GROVE, PA 19090-1700
(215) 659-4400
(215) 659-5931
Mailing address
2400 MARYLAND RD, STE 30, WILLOW GROVE, PA 19090-1700
(215) 659-4400
(215) 659-5931
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003312L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012685400002
—
PA
01
—
480018665
PALMETTOGBA-RRMEDICARE
—
Enumeration date
06/20/2005
Last updated
08/15/2012
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