MEDICARE: DR. EVERETT JAMES WILKINSON JR. DO

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	2022050080	MO
2	207X00000X	Orthopaedic Surgery Physician	0530900	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518910157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVERETT JAMES WILKINSON JR. DO

Provider Business Mailing Address
First Line	:	5101 COLLEGE BLVD
Second Line	:
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1614
Country	:	US
Telephone Number	:	816-478-4800
Fax Number	:	816-875-2597

Provider Business Practice Location Address
First Line	:	8919 PARALLEL PKWY STE 555
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-3628
Country	:	US
Telephone Number	:	913-596-3940
Fax Number	:	913-596-3730

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/23/2024

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Directions to “ DR. EVERETT JAMES WILKINSON JR. DO” Practice Location

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