FRED KENNETH WILKERSON

ORANGE PARK, FL
NPI1225020829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP 9225617)
Enumeration Date2005-08-19
Last Update Date2008-01-23
Business Address
-- FRED KENNETH WILKERSON ARNP
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-421-2119
Mailing Address
-- FRED KENNETH WILKERSON ARNP
PO BOX 861774
ORLANDO, FL 32886-1774
Phone number:
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