MEDICARE: WILKES PHYSICIAN NETWORK, INC.

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	208000000X	Pediatrics Physician
2	207R00000X	Internal Medicine Physician

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	:	1750685533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILKES PHYSICIAN NETWORK, INC.

Provider Business Mailing Address
First Line	:	1915 WEST PARK DR
Second Line	:	SUITE 103
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3777
Country	:	US
Telephone Number	:	336-838-9553
Fax Number	:	336-838-9563

Provider Business Practice Location Address
First Line	:	1915 WEST PARK DR
Second Line	:	SUITE 103
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3777
Country	:	US
Telephone Number	:	336-838-9553
Fax Number	:	336-838-9563

Authorized Official
Title or Position	:	SR VP
Name	:	FRIEDA M LOWDER
Credential	:
Telephone Number	:	704-403-4146

Provider Enumeration Date	:	01/07/2011
Last Update Date	:	06/30/2011

Similar Medicare Providers

1104894955 — DR. MICHAEL BRADFORD HUGGINS M.D.
Practice Location Address:

1915 W PARK DR , SUITE 101
NORTH WILKESBORO, NC
28659-3777

Practice Phone: 336-651-8700
Practice Fax: 336-651-8710

1376500413 — BRIAN DAVID MOFFITT AUD
Practice Location Address:

1915 W PARK DR STE 108
NORTH WILKESBORO, NC
28659-3777

Practice Phone: 336-838-7758
Practice Fax: 336-838-9790

1184728339 — WILKES DENTAL CONSORTIUM INC
Practice Location Address:

1915 WEST PARK DR , SUITE 104
N WILKESBORO, NC
28659-3777

Practice Phone: 336-903-7302
Practice Fax: 336-903-0464

1740487321 — DR. JULIA ELEANOR YARAEI MD
Practice Location Address:

1915 W PARK DR STE 103
NORTH WILKESBORO, NC
28659-3777

Practice Phone: 336-838-9553
Practice Fax: 336-838-9563

1992972160 — DR. DAVID ARTHUR KUNKLE M.D.
Practice Location Address:

1915 W PARK DR STE 101
NORTH WILKESBORO, NC
28659-3777

Practice Phone: 336-651-8700
Practice Fax: 336-651-8710

1467765321 — DR. BRIAN KELLY COOK
Practice Location Address:

1915 W PARK DR STE 104
NORTH WILKESBORO, NC
28659-3777

Practice Phone: 336-903-7300
Practice Fax: 336-903-0464

Directions to “WILKES PHYSICIAN NETWORK, INC. ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.