Wickham, Kristin
Wickham, Kristin is an individual health care provider with primary practice located at 200 Clinic Dr , Madisonville KY 42431-1661. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wickham, Kristin can be contacted via phone (270) 825-7200.Contact Information
Primary practice address
200 Clinic Dr
Madisonville KY 42431-1661
Phone: (270) 825-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11018785A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 52925 | Kentucky |
Profile Details
| NPI number | 1013368968 |
|---|---|
| LBN Legal business name | Wickham, Kristin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2016 |
| Last updated | Oct 15th, 2019 - about 7 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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