Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Joseph Wilkerson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417617721

Kevin Joseph Wilkerson is a Student in an Organized Health Care Education/Training Program in Fort Campbell, Kentucky. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (217) 622-3486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417617721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address16 Midland Ct, Springfield, IL 62702-2940

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