Individual
MRS. KAYLA MARIE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
305 DAPHNE DR, ENTERPRISE, AL 36330-7863
(803) 609-9761
Mailing address
305 DAPHNE DR, ENTERPRISE, AL 36330-7863
(803) 609-9761
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1-124272
AL
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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