Provider Demographics
NPI:1609992551
Name:WILKEY, AARON L (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:L
Last Name:WILKEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 NORTH JEFFERSON STREET
Mailing Address - Street 2:POB 151
Mailing Address - City:TINGLEY
Mailing Address - State:IA
Mailing Address - Zip Code:50863-0151
Mailing Address - Country:US
Mailing Address - Phone:641-772-4318
Mailing Address - Fax:
Practice Address - Street 1:102 NORTH JEFFERSON STREET
Practice Address - Street 2:POB 151
Practice Address - City:TINGLEY
Practice Address - State:IA
Practice Address - Zip Code:50863-0151
Practice Address - Country:US
Practice Address - Phone:641-772-4318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0214346Medicaid
IA21434Medicare ID - Type Unspecified
IA0214346Medicaid