Individual
KRISTINE K WICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 N HAMILTON RD, SUITE 120, GAHANNA, OH 43230-8703
(614) 337-9800
(614) 337-9591
Mailing address
765 N HAMILTON RD, SUITE 120, GAHANNA, OH 43230-8703
(614) 337-9800
(614) 337-9591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
07121
OH
Other
Enumeration date
07/08/2006
Last updated
01/25/2022
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