Wilkie, Kimberly A

Wilkie, Kimberly A is an individual health care provider with primary practice located at 2400 Maryland Rd Ste 30, Willow Grove PA 19090-1700. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Wilkie, Kimberly A can be contacted via phone (215) 659-4400.

Contact Information

Primary practice address
2400 Maryland Rd Ste 30 Willow Grove PA 19090-1700
Fax: (215) 659-5931
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003312L Pennsylvania

Profile Details

NPI number 1578568168
LBN Legal business name Wilkie, Kimberly A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 15th, 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 1578568168 NPPES
Pennsylvania MEDICAID 0012685400002
Pennsylvania Other 480018665

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