Individual
MRS. KAREN KIM WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
150 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 967-5715
Mailing address
1127 B 13TH CAVALRY ROAD, FORT KNOX, KY 40121-2298
(575) 915-8449
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704258641
MI
Other
Enumeration date
07/31/2007
Last updated
12/12/2013
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