Most Relevant Information
Provider Data
| NPI Number: | 1003476409 |
| Provider Name: | KRISTA WILKERSON BA |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2019 |
| Last Updated: | 06/18/2019 |
Provider Practice Location
8140 DREAM ST STE D
FLORENCE
KY
410427532
Practice Location Phone/Fax
| Phone: | 8594210286 |
| Fax: | 8592542075 |
Provider Mailing Location
8140 DREAM ST STE D
FLORENCE
KY
410427532
Provider Mailing Phone/Fax
| Phone: | 8594210286 |
| Fax: | 8592542075 |