| Doctor Name: | KIMBERLY U WILKES |
| NPI Number: | 1083982375 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 2277 |
| Business Practice Address: | 8925 W Russell Rd Suite 140 Las Vegas, NV - 891481219 |
| Business Phone Number: | 7029146787 |
| Business Fax Number: | 7029146885 |
| Mailing Address: | 8925 West Russell Rd, Suite 140 LAS VEGAS |
| State: | NV |
| Postal Code: | 891481220 |
| Phone Number: | 7029146787 |
| Fax Number: | 7029146885 |
| NPI Enumeration Date: | 12/01/2011 |
| NPI Last Update Date: | 12/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2277 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |