Karen Kim Wicker CRNA

NPI 1164612693 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1164612693
Gender Female
Enumeration Date 07/31/2007
Last Updated 12/12/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
150 N EAGLE CREEK DR
LEXINGTON KY, 40509-1805, US
Phone (859) 967-5715
Fax
Business Location
1127 B 13TH CAVALRY ROAD
FORT KNOX KY, 40121-2298, US
Phone (575) 915-8449
Fax
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704258641
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According to our database, Mrs. Karen Kim Wicker CRNA NPI is 1164612693, taxonomy code is 367500000X and license number is 4704258641, license state is located at Michigan. Karen Kim Wicker CRNA physically located at 150 N Eagle Creek Dr, Lexington KY, 40509-1805. NPI Number Karen Kim Wicker CRNA has the Individual type.

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1164612693 NPI number is provided on an as is basis without warranty of any kind. 1164612693 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Kim Wicker CRNA are for informational purposes only.