Individual
DR. DARRYL JOHN WILKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 HOSPITAL LN, JELLICO, TN 37762-4404
(423) 784-7269
(423) 784-3708
Mailing address
PO BOX 447, JELLICO, TN 37762-0447
(423) 784-7269
(423) 784-3708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35440
KY
207Q00000X
Family Medicine Physician
Primary
MD0000030038
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3836057
—
TN
05
—
64712748
—
KY
Enumeration date
09/14/2006
Last updated
03/12/2025
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