Kicker, Jennifer Sue

Kicker, Jennifer Sue is an individual health care provider with primary practice located at 8901 Wisconsin Avenue Walter Reed National Military Medical Center, Bethesda MD 20889-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Kicker, Jennifer Sue can be contacted via phone (301) 400-2010.

Contact Information

Primary practice address
8901 Wisconsin Avenue Walter Reed National Military Medical Center Bethesda MD 20889-0001
Phone: (301) 400-2010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101240654 Virginia
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD60323638 Washington
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 0101240654 Virginia

Profile Details

NPI number 1780776773
LBN Legal business name Kicker, Jennifer Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Apr 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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