Individual
KIMBERLY MICHELLE WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 WHEELER ST, SAVANNAH, GA 31405
(912) 352-4340
(912) 352-4616
Mailing address
8 WHEELER ST, SAVANNAH, GA 31405-5710
(912) 352-4340
(912) 352-4616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN250719
GA
363LF0000X
Family Nurse Practitioner
Primary
RN250719
GA
Other
Enumeration date
04/04/2016
Last updated
10/27/2019
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