Individual
DR. KENNETH R WILHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6101 REDWOOD SQUARE CTR, SUITE 303, CENTREVILLE, VA 20121-4265
(703) 996-3000
(703) 229-1152
Mailing address
6101 REDWOOD SQUARE CTR, SUITE 303, CENTREVILLE, VA 20121-4265
(703) 996-3000
(703) 229-1152
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103000986
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009302531
—
VA
Enumeration date
09/29/2005
Last updated
11/29/2023
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