Individual
KIMBERLYNN WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 452-8251
Mailing address
201 1ST AVE, SUITE 300, FAIRBANKS, AK 99701-4848
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
03/22/2016
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