Provider Demographics
NPI:1083710925
Name:WILKINS, LOIS ELLEN (ARNP PHD)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:ELLEN
Last Name:WILKINS
Suffix:
Gender:F
Credentials:ARNP PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32800 W 91ST TER
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:KS
Mailing Address - Zip Code:66018-8162
Mailing Address - Country:US
Mailing Address - Phone:913-585-1979
Mailing Address - Fax:913-585-1157
Practice Address - Street 1:719 MASSACHUSETTS ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2345
Practice Address - Country:US
Practice Address - Phone:785-749-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS74085363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS010595OtherBLUE CROSS/BLUE SHIELD KS
KS100248410AMedicaid
KS100248410AMedicaid