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1396748505

NPI Code Detail

MEDICARE: CHRIS E WILKINSON M.D.

MEDICARE: CHRIS E WILKINSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	16560	NE
2	207X00000X	Orthopaedic Surgery Physician	04-24466	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200041190	OTHER	KS	RAILROAD MEDICARE
2	200010391	OTHER	NE	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	46970	OTHER	KS	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	14612	OTHER		MIDLANDS CHOICE
6	3868	OTHER	NE	BCBS
7	663370	OTHER	KS	FIRST GUARD

General Provider Information

NPI Number	:	1396748505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS E WILKINSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2168
Second Line	:
City	:	KEARNEY
State	:	NE
Zip	:	68848-2168
Country	:	US
Telephone Number	:	308-865-2512
Fax Number	:	308-865-2506

Provider Business Practice Location Address
First Line	:	3500 CENTRAL AVE
Second Line	:
City	:	KEARNEY
State	:	NE
Zip	:	68847-2944
Country	:	US
Telephone Number	:	308-865-2512
Fax Number	:	308-865-2506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/11/2009

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Directions to “ CHRIS E WILKINSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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