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Kenneth James Wickey, PA
Student in an Organized Health Care Education/Training Program in Wingate, North Carolina
NPI 1003506114

Kenneth James Wickey is a Student in an Organized Health Care Education/Training Program based in Concord, NC. Kenneth James Wickey practices in Wingate, NC and has the professional credentials of PA. The NPI Number for Kenneth James Wickey is 1003506114 and holds a License No. (North Carolina).

The current practice location address for Kenneth James Wickey is 515 N Main St, Wingate, NC and can be reached out via phone at 704-233-8051.

Location: 515 N Main St, Wingate, NC, 28027-0283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003506114
Provider Name
Kenneth James Wickey
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
515 N Main St, Wingate, NC, 28027-0283
Phone Number
704-233-8051
Fax Number
Provider Enumeration Date
05/11/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
515 N Main St
City
Wingate
State
North Carolina
Zip
28174-8274
Phone Number
704-233-8051
Fax Number
person
Provider Business Mailing Address Details
Address
515 N Main St
City
Wingate
State
North Carolina
Zip
28174-8274
Phone Number
704-233-8051
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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