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General NPI Number Information
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NPI Number | 1518910157
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Entity Type | Individual
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Provider Name | EVERETT JAMES WILKINSON JR. DO
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 8919 PARALLEL PKWY STE 555
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City | KANSAS CITY
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State | KS
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Zip | 66112-3628
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Country | US
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Telephone | 913-596-3940
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Fax | 913-596-3730
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Provider Business Mailing Address
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Address Line | 5101 COLLEGE BLVD
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City | LEAWOOD
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State | KS
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Zip | 66211-1614
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Country | US
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Telephone | 816-478-4800
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Fax | 816-875-2597
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2022050080
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0530900
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License Number State | KS
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