Wilkens, Gregory Charles

Wilkens, Gregory Charles is an individual health care provider with primary practice located at 515 Memorial Dr Ste 1 , Manchester KY 40962-9157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilkens, Gregory Charles can be contacted via phone (606) 598-4534.

Contact Information

Primary practice address
515 Memorial Dr Ste 1 Manchester KY 40962-9157
Phone: (606) 598-4534
Fax: (606) 599-2524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38097 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X MD0000035379 Tennessee

Profile Details

NPI number 1134214596
LBN Legal business name Wilkens, Gregory Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 16th, 2020 - about 6 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 1134214596 NPPES
Tennessee MEDICAID 3885392
Tennessee MEDICAID 64064413

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