Individual
KELLY WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8443 BAYMEADOWS RD STE 1, JACKSONVILLE, FL 32256-7440
(904) 726-1500
(904) 726-1520
Mailing address
8443 BAYMEADOWS RD STE 1, JACKSONVILLE, FL 32256-7440
(904) 726-1500
(904) 726-1520
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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