| Kelly A Wilkinson, CNM | |
|
2510 Commons Blvd Ste 270, Beavercreek, OH 45431-3834 | |
| (937) 431-0200 | |
| (937) 431-0488 |
| Full Name | Kelly A Wilkinson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2510 Commons Blvd Ste 270, Beavercreek, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962882449 | NPI | - | NPPES |
| 0135156 | Medicaid | OH | |
| 1184652539 | Other | OH | GROUP NPI |
| 0105065 | Other | OH | GROUP MEDICAID |
| 9934723 | Other | OH | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | COA.16865-NM (Ohio) | Primary |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly A Wilkinson, CNM 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 Ph: (937) 429-7350 | Kelly A Wilkinson, CNM 2510 Commons Blvd Ste 270, Beavercreek, OH 45431-3834 Ph: (937) 431-0200 |
Darla Rae Baker, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd, Suite 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623 | |
Caetlyn Danielle Jones, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623 |