Provider Demographics
NPI:1316528045
Name:WILKES, LIND-SAE D (NBC-HWC)
Entity type:Individual
Prefix:
First Name:LIND-SAE
Middle Name:D
Last Name:WILKES
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8824 INKSTER ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66227-7500
Mailing Address - Country:US
Mailing Address - Phone:913-558-1229
Mailing Address - Fax:
Practice Address - Street 1:8765 N AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-2540
Practice Address - Country:US
Practice Address - Phone:913-297-7472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
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