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NPI Code Detail

MEDICARE: LARRY WILKINSON MD

MEDICARE: LARRY WILKINSON MD
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
1207Q00000XFamily Medicine Physician0416381KS

General Provider Information

NPI Number : 1780663211
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRY WILKINSON MD
Provider Business Mailing Address
First Line : 2535 E LINCOLN ST
Second Line :
City : WICHITA
State : KS
Zip : 67211-3821
Country : US
Telephone Number : 316-687-9794
Fax Number : 316-689-6957
Provider Business Practice Location Address
First Line : 2535 E LINCOLN ST
Second Line :
City : WICHITA
State : KS
Zip : 67211-3821
Country : US
Telephone Number : 316-687-9794
Fax Number : 316-689-6957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 05/24/2016

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Directions to “ LARRY WILKINSON MD” Practice Location

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