Provider Demographics
NPI:1316245749
Name:WILKINSON, KATE ELIZABETH (RN)
Entity type:Individual
Prefix:MISS
First Name:KATE
Middle Name:ELIZABETH
Last Name:WILKINSON
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 1:249 N SHADYLANE DR
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-1036
Mailing Address - Country:US
Mailing Address - Phone:330-383-4541
Mailing Address - Fax:
Practice Address - Street 1:213 N SHADYLANE DR
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-1036
Practice Address - Country:US
Practice Address - Phone:330-932-0562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.308201163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse