Provider Demographics
NPI:1922688266
Name:WILKINS CHIROPRACTIC
Entity Type:Organization
Organization Name:WILKINS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-470-5900
Mailing Address - Street 1:1786 WILMINGTON PIKE STE 101B
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-8172
Mailing Address - Country:US
Mailing Address - Phone:610-361-9531
Mailing Address - Fax:610-361-9407
Practice Address - Street 1:1786 WILMINGTON PIKE STE 101B
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-8172
Practice Address - Country:US
Practice Address - Phone:610-361-9531
Practice Address - Fax:610-361-9407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty