Provider Demographics
NPI:1619599263
Name:WILKIN, KAREN CECILE (RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:CECILE
Last Name:WILKIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 N HAMLET CT
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-8964
Mailing Address - Country:US
Mailing Address - Phone:864-529-8849
Mailing Address - Fax:
Practice Address - Street 1:256 N HAMLET CT
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:SC
Practice Address - Zip Code:29369-8964
Practice Address - Country:US
Practice Address - Phone:864-529-8849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-16
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC65413163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse