Provider Demographics
NPI:1477735397
Name:WILKENS, KATE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:MARIE
Last Name:WILKENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1115 MORGAN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CARLINVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62626-1430
Mailing Address - Country:US
Mailing Address - Phone:217-854-3141
Mailing Address - Fax:217-854-3894
Practice Address - Street 1:1115 MORGAN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CARLINVILLE
Practice Address - State:IL
Practice Address - Zip Code:62626-1430
Practice Address - Country:US
Practice Address - Phone:217-854-3141
Practice Address - Fax:217-854-3894
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2013-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036.125395207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine