Individual
DR. KENNETH CRAIG WILKINSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
719 EAST AIRPORT AVENUM, BATON ROUGE, LA 70806
(225) 924-5251
(225) 924-5251
Mailing address
719 EAST AIRPORT AVENUE, BATON ROUGE, LA 70806
(225) 924-5251
(225) 924-5251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3213
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1832138
—
LA
Enumeration date
10/03/2006
Last updated
07/08/2007
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