Individual
ROBERT SHANE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
145 KIMEL PARK DR, SUITE 300, WINSTON SALEM, NC 27103-6984
(336) 768-3212
Mailing address
145 KIMEL PARK DR, SUITE 300, WINSTON SALEM, NC 27103-6984
(336) 768-3212
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
181229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053142
—
NC
05
—
NAN982
—
SC
Enumeration date
01/25/2008
Last updated
04/04/2011
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