Dr. Kenneth D. Wicker
M.D. | Pediatric Emergency Medicine | Male
Dr. Kenneth D. Wicker, M.D. is a Knoxville, Tennessee based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Kenneth D. Wicker is
2018 W Clinch Ave, Knoxville, Tennessee - 37916-2301. He can be contacted on phone at
865-541-8000 and fax number 865-539-8008.
Dr. Kenneth D. Wicker is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kenneth D. Wicker is
1992732994 which was assigned by NPPES on 26 Jun, 2006 and it was last updated on 21 Nov, 2007.
Dr. Kenneth D. Wicker license number is
MD18702 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Tennessee.
Dr. Kenneth D. Wicker has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Kenneth D. Wicker basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Kenneth D. Wicker |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Kenneth D. Wicker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2018 W Clinch Ave
Knoxville, TN, 37916-2301
United States |
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| Phone Number : | 865-541-8000 |
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| Fax Number : | 865-539-8008 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992732994 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jun, 2006 |
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| Last Updated On : | 21 Nov, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth D. Wicker are as mentioned. Primary taxonomy code for Dr. Kenneth D. Wicker, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | MD18702 | TN |
| 208000000X | Pediatrics | No | MD18702 | TN |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD18702 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kenneth D. Wicker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3082434 | MEDICAID | TN | |
| 4152062 | Other | TN | BLUE CROSS |
| 64928021 | MEDICAID | KY | |
| 3082433 | MEDICAID | TN | |
| 3112589 | Other | TN | BLUE CROSS |
| 3055615 | Other | TN | BLUE CROSS |
| 3082430 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 634706
Cincinnati, OH, 45263-0001
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Kenneth D. Wicker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.