Highland Park Primary Care Center, PLLC

Organization Active NPI Primary Care Clinic/Center · Williamsburg, KY

NPI 1669617809 · NPPES record last updated Aug 16, 2010

Key facts

NPI
1669617809
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
HIGHLAND PARK PRIMARY CARE CENTER, PLLC
Practice address
475 N Highway 25 W
Suite300
Williamsburg, KY 40769-1576
Phone
(606) 549-2054
Fax
(606) 549-8156
NPI assigned
Dec 2, 2008
Organization subpart
No

Authorized official

Name
Dr. Charles H. Wilkens, M.D.
Title
President
Phone
(606) 549-8054

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

475 N Highway 25 W
Ste 300
Williamsburg, KY 40769
Phone (606) 549-2054

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

475 N Highway 25 W
Suite300
Williamsburg, KY 40769-1576

Mailing address

PO Box 506
Jellico, TN 37762-0506
Phone (606) 549-2054

Other providers in Williamsburg, KY

All providers in Williamsburg, KY · Primary Care Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.