Wilkerson, Fred Kenneth

Wilkerson, Fred Kenneth is an individual health care provider with primary practice located at 2001 Kingsley Ave , Orange Park FL 32073-5148. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Wilkerson, Fred Kenneth can be contacted via phone (904) 421-2119.

Contact Information

Primary practice address
2001 Kingsley Ave Orange Park FL 32073-5148
Phone: (904) 421-2119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 9225617 Florida

Profile Details

NPI number 1225020829
LBN Legal business name Wilkerson, Fred Kenneth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jan 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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