Provider Demographics
NPI:1003949967
Name:WILKINS, KIMBERLY F (DMD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:F
Last Name:WILKINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 PROSPEROUS PL STE 3A
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1828
Mailing Address - Country:US
Mailing Address - Phone:859-263-5755
Mailing Address - Fax:859-263-4052
Practice Address - Street 1:121 PROSPEROUS PL STE 3A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1828
Practice Address - Country:US
Practice Address - Phone:859-263-5755
Practice Address - Fax:859-263-4052
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY68831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice