MEDICARE: NEIL WILKEY MD PC

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	207Q00000X	Family Medicine Physician
2	207KA0200X	Allergy Physician

General Provider Information

NPI Number	:	1952166126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIL WILKEY MD PC

Provider Business Mailing Address
First Line	:	3210 E WOODMEN RD STE 100
Second Line	:
City	:	COLORADO SPGS
State	:	CO
Zip	:	80920-3591
Country	:	US
Telephone Number	:	954-634-4292
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 E WOODMEN RD STE 100
Second Line	:
City	:	COLORADO SPGS
State	:	CO
Zip	:	80920-3591
Country	:	US
Telephone Number	:	954-634-4292
Fax Number	:

Authorized Official
Title or Position	:	SOLE MBR
Name	:	DR. NEIL WILKEY
Credential	:	MD
Telephone Number	:	719-679-7838

Provider Enumeration Date	:	02/16/2024
Last Update Date	:	01/07/2025

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