Kelly Lee Wilkinson, MA, LPCC | |
18484 Kachina Ct, Lakeville, MN 55044-4886 | |
(952) 993-8800 | |
Not Available |
Full Name | Kelly Lee Wilkinson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 18484 Kachina Ct, Lakeville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043504145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LP303 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Carver County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326049685 PECOS PAC ID: 8527041961 Enrollment ID: O20040609000094 |
Mailing Address | Practice Location Address |
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Kelly Lee Wilkinson, MA, LPCC 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Kelly Lee Wilkinson, MA, LPCC 18484 Kachina Ct, Lakeville, MN 55044-4886 Ph: (952) 993-8800 |
Heather Leann Wegner, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10567 165th St W, Lakeville, MN 55044 Phone: 527-679-3749 Fax: 855-538-0663 | |
Anna Marie Groen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7580 160th St. W.,, Lakeville, MN 55044 Phone: 952-564-6281 Fax: 952-435-6797 | |
Jennifer Tessness, Counselor Medicare: Medicare Enrolled Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133 | |
Nicholas Weidner, Counselor Medicare: Medicare Enrolled Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133 | |
Ms. Julia Swedberg, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10591 165th St W, Lakeville, MN 55044 Phone: 952-898-1133 Fax: 952-435-6797 | |
Tracy Kotval, MA, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10535 165th St W, Lakeville, MN 55044 Phone: 612-787-2297 |