Wilkes, Taylor D

Wilkes, Taylor D is an sole proprietor health care provider with primary practice located at 9800 Baptist Health Drive Suite 600, Little Rock AR 72205-6229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wilkes, Taylor D can be contacted via phone (501) 221-0123.

Contact Information

Primary practice address
9800 Baptist Health Drive Suite 600 Little Rock AR 72205-6229
Fax: (501) 227-8859
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C5113 Arkansas

Profile Details

NPI number 1164402251
LBN Legal business name Wilkes, Taylor D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Oct 19th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164402251 NPPES
Arkansas MEDICAID 104882001

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