Wilkin, Kacie

Wilkin, Kacie is an individual health care provider with primary practice located at 905 Colony Dr , Ada OK 74820-2329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilkin, Kacie can be contacted via phone (580) 436-5111.

Contact Information

Primary practice address
905 Colony Dr Ada OK 74820-2329
Phone: (580) 436-5111
Fax: (580) 279-1994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2501 Oklahoma

Profile Details

NPI number 1386035715
LBN Legal business name Wilkin, Kacie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2015
Last updated Nov 19th, 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 1386035715 NPPES
Oklahoma Other 2501 OK BOARD OF MEDICAL LICENSURE AND SUPERVISION

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