Provider Demographics
NPI:1265611370
Name:WILMES, ALAN FRANCIS
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:FRANCIS
Last Name:WILMES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 SUSAN ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-7571
Mailing Address - Country:US
Mailing Address - Phone:816-903-2675
Mailing Address - Fax:
Practice Address - Street 1:1103 SUSAN ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060-7571
Practice Address - Country:US
Practice Address - Phone:816-903-2675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications