Provider Demographics
NPI:1518910157
Name:WILKINSON, EVERETT JAMES JR (DO)
Entity Type:Individual
Prefix:DR
First Name:EVERETT
Middle Name:JAMES
Last Name:WILKINSON
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:4860 COLLEGE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1681
Mailing Address - Country:US
Mailing Address - Phone:816-478-4800
Mailing Address - Fax:816-875-2597
Practice Address - Street 1:8919 PARALLEL PKWY STE 555
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-3628
Practice Address - Country:US
Practice Address - Phone:913-596-3940
Practice Address - Fax:913-596-3730
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-01-31
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Provider Licenses
StateLicense IDTaxonomies
KS0530900207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100179600FMedicaid
KS100179600FMedicaid
G53030Medicare UPIN