# ERIN A. KICKHAM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043737968
- **Gender:** F
- **Credential:** MS, RN, CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN2310531 | MA | — |
| 363LP0200X | Pediatric Nurse Practitioner | RN2310531 | MA | Yes |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 11/18/2021