Organization
THE PADUCAH ORTHOPAEDIC CLINIC
Active
Organization
THE PADUCAH ORTHOPAEDIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R WILKINSON MD (ORTHOPAEDIC SURGEON)
(270) 442-1638
Entity
Organization
Contact information
Practice address
1532 LONE OAK RD, STE 310, PADUCAH, KY 42002
(270) 442-1638
(270) 575-8555
Mailing address
PO BOX 7099, 1532 LONE OAK RD STE 310, PADUCAH, KY 42002
(270) 442-1638
(270) 575-8555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200170
BC/BS OF KY
KY
05
—
65902801
—
KY
01
—
90001064
BC/BS OF IL
—
Enumeration date
02/24/2006
Last updated
12/19/2007
Update your record
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