Provider Demographics
NPI:1578616405
Name:WILKERSON CONSULTING PSC
Entity Type:Organization
Organization Name:WILKERSON CONSULTING PSC
Other - Org Name:ADAIR FRIENDS AND NEIGHBORS ADULT DAY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-384-5351
Mailing Address - Street 1:127 N REED ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1356
Mailing Address - Country:US
Mailing Address - Phone:270-384-5351
Mailing Address - Fax:270-384-6971
Practice Address - Street 1:127 N REED ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1356
Practice Address - Country:US
Practice Address - Phone:270-384-5351
Practice Address - Fax:270-384-6971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY261QA0600X
KY430001240261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care