NPI 1083092589 KELLY WICKSTROM D.O. TUCSON AZ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kelly Wickstrom - NPI: 1083092589

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KELLY WICKSTROM
NPI Number: 1083092589
Entity Type Code: Individual (1)
Gender: F
Credentials: D.O.
License Number: R2504
Business Practice Address: 1501 N Campbell Ave Rm 6336
Box 245040 Tucson, AZ - 857245040
Business Phone Number: 5206267000
Business Fax Number: 5206266020
Mailing Address: 1501 N Campbell Ave Rm 6336, Box 245040
TUCSON
State: AZ
Postal Code: 857245040
Phone Number: 5206267000
Fax Number: 5206266020
NPI Enumeration Date: 05/15/2015
NPI Last Update Date: 06/05/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207R00000X
License Number: R2504
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AZ
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Internal Medicine
Taxonomy Specialization:
Taxonomy Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


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