| Kenneth R. Wilkes M.d P.c | |
|
146 Manetto Hill Road Plainview NY 11803 | |
| (516) 938-3866 | |
| Not Available |
| Full Name | Kenneth R. Wilkes M.d P.c |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 146 Manetto Hill Road, Plainview, New York |
| Authorized Official Name and Position | Kenneth Roger Wilkes (PRESIDENT) |
| Authorized Official Contact | 5169383866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R. Wilkes M.d P.c 146 Manetto Hill Road Plainview NY 11803 Ph: () - | Kenneth R. Wilkes M.d P.c 146 Manetto Hill Road Plainview NY 11803 Ph: (516) 938-3866 |
| NPI Number | 1528360245 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 12/01/2010 |
| Medicare PECOS PAC ID | 7618164203 |
|---|---|
| Medicare Enrollment ID | O20101208000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528360245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kenneth R Wilkes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528081726 PECOS PAC ID: 3577750173 Enrollment ID: I20101208000923 |
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