Doctor Name: | WILLIAM B WILKINSON |
NPI Number: | 1639175250 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 37556 |
Business Practice Address: | 1 Trillium Way Suite 301 Corbin, KY - 407018727 |
Business Phone Number: | 6065267363 |
Business Fax Number: | 6065268695 |
Mailing Address: | 1099 Fox Run Rd, CORBIN |
State: | KY |
Postal Code: | 407019547 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/28/2005 |
NPI Last Update Date: | 05/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/17/2006 |
NPI Reactivation Date: | 04/06/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 37556 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |