Kristine Marie Wilke, A.T.C-L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

642-039 Issued in WI

Practice address

400 E 3Rd St
Sports Medicine Dept
Duluth, MN 55805-1951

Phone

(715) 395-4641

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245304286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 N 21ST ST",
            "address_2": "APARTMENT #4",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548807330",
            "telephone_number": "218-340-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "address_2": "SPORTS MEDICINE DEPT",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "715-395-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKE",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "A.T.C-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "642-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN LICENSE NUMBER",
            "identifier": "642-039",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilderness Wellness Chiropractic LLC
• Robert Earl Wildwood, LPN
• Sonja Wildwood, LPCC
• Elizabeth Jean Wilhelmson, P.T.
• Krista Wilhelmson, MD
• Nicole Marie Wilke, FNP-BC, APNP
• Jacqueline Kay Wille, MD
• William J & Kathleen E Bellamy PTR
• William J. Schuldt, D.D.S., P.a.
• Erica Marie Williams

• Athletic Trainer in Duluth, MN
• Providers in Duluth, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.