Individual
KARI A WICKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
116 MERIDIAN WAY STE 1, RICHMOND, KY 40475-2876
(859) 623-4458
(859) 623-4459
Mailing address
105 W MAIN ST, CARTERSVILLE, GA 30120-3507
(770) 334-3062
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
267988
KY
Other
Enumeration date
05/24/2018
Last updated
03/24/2021
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