Wilkerson, Katie L

Wilkerson, Katie L is an individual health care provider with primary practice located at 20 San Filippo Dr Se , Palm Bay FL 32909-2200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wilkerson, Katie L can be contacted via phone (321) 725-8300.

Contact Information

Primary practice address
20 San Filippo Dr Se Palm Bay FL 32909-2200
Phone: (321) 725-8300
Fax: (321) 725-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 3073572 Florida

Profile Details

NPI number 1891855532
LBN Legal business name Wilkerson, Katie L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Apr 20th, 2021 - about 5 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 1891855532 NPPES
Florida MEDICAID 308812000

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