Healthcare Provider Details

I. General information

NPI: 1073256756
Provider Name (Legal Business Name): KENT WILKINSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 US HIGHWAY 127 S
FRANKFORT KY
40601-4358
US

IV. Provider business mailing address

305 LINDENHURST DR APT 8208
LEXINGTON KY
40509-1369
US

V. Phone/Fax

Practice location:
  • Phone: 502-875-0127
  • Fax:
Mailing address:
  • Phone: 814-203-3693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number023119
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: