Individual
DR. KENNETH J WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17360 BROOKHURST ST., FOUNTAIN VALLEY, CA 92708
(877) 844-0012
(714) 665-4680
Mailing address
17360 BROOKHURST ST., ATTN: ADMINISTRATION, FOUNTAIN VALLEY, CA 92708
(877) 844-0012
(714) 665-4680
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
A80116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I28424
UPIN
CA
Enumeration date
06/20/2006
Last updated
09/25/2024
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