Kenneth R Wilka in Cedarburg - Athletic Trainer
Kenneth R Wilka - NPI 1063412369
Kenneth R Wilka is a Athletic Trainer in Cedarburg, Wisconsin. Kenneth R Wilka practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Kenneth R Wilka is 1063412369. The last update date is 2007-07-08.
Kenneth R Wilka's current location address is W63n541 Hanover Ave, Cedarburg, Wisconsin. You can contact this provider via phone number 2623752195 and fax number 2623752273. The mailing address for Kenneth R Wilka is W63n541 Hanover Ave, Cedarburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth R Wilka |
|---|---|
| Address | W63n541 Hanover Ave, Cedarburg, Wisconsin |
| Phone Number | 2623752195 |
| Fax Number | 2623752273 |
| Sole Proprietor | X |
| Credentials | A.T.C. |
NPI Number Detail
| NPI Number | 1063412369 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | W63n541 Hanover Ave |
|---|---|
| City | Cedarburg |
| State | Wisconsin (WI) |
| Post Code | 530121917 |
| Phone Number | 2623752195 |
| Fax Number | 2623752273 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 600-039 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code issued to Kenneth R Wilka by the Centers for Medicare & Medicaid Services?
The Kenneth R Wilka has been assigned the NPI (National Provider Identifier) 1063412369 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kenneth R Wilka's facilities are geographically located?
The facilities of Kenneth R Wilka are physically situated at the following location: W63N541 Hanover Ave, Cedarburg, WI, 530121917.
What is Kenneth R Wilka's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth R Wilka's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.
When did the Kenneth R Wilka receive its 1063412369?
The Kenneth R Wilka was issued its 1063412369 on 2005-07-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kenneth R Wilka most recently updated or revised?
The information pertaining to Kenneth R Wilka, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.