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General NPI Number Information
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NPI Number | 1578616405
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Entity Type | Organization
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Legal Business Name | WILKERSON CONSULTING PSC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 127 N REED ST
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City | COLUMBIA
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State | KY
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Zip | 42728-1356
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Country | US
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Telephone | 270-384-5351
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Fax | 270-384-6971
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Provider Business Mailing Address
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Address Line | 127 N REED ST
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City | COLUMBIA
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State | KY
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Zip | 42728-1356
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Country | US
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Telephone | 270-384-5351
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Fax | 270-384-6971
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. KEN M. WILKERSON
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Credential |
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Telephone | 270-384-5351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 430001240
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License Number State | KY
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