Provider Demographics
NPI:1508936782
Name:WILKINS, CHYRISSE LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHYRISSE
Middle Name:LYNN
Last Name:WILKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 BRANCH AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1626
Mailing Address - Country:US
Mailing Address - Phone:301-877-9000
Mailing Address - Fax:
Practice Address - Street 1:7901 BRANCH AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1626
Practice Address - Country:US
Practice Address - Phone:301-877-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01675111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician