Wilkerson, Jonathan David

Wilkerson, Jonathan David is an individual health care provider with primary practice located at 1532 Lone Oak Rd Suite 315, Paducah KY 42003-7913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wilkerson, Jonathan David can be contacted via phone (270) 538-5880.

Contact Information

Primary practice address
1532 Lone Oak Rd Suite 315 Paducah KY 42003-7913
Fax: (287) 538-5870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 43494 Kentucky

Profile Details

NPI number 1235326737
LBN Legal business name Wilkerson, Jonathan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Oct 2nd, 2017 - about 9 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 1235326737 NPPES
Kentucky MEDICAID 7100165020

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