Individual
KENNETH R. WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3285 CLAREMONT WAY, NAPA, CA 94558-3313
(707) 258-2500
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G58353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G583530
—
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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