Individual
KRISTIN K. WICKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
151 WORCESTER RD, BARRE FAMILY HEALTH CENTER, BARRE, MA 01005-9002
(978) 355-6321
(978) 355-6329
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2210
MA
Other
Enumeration date
01/12/2007
Last updated
10/24/2020
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