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Individual

KIMBERLY ANNE KASOW WICHLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 MANNING DR, CHAPEL HILL, NC 27599-0001
(919) 966-4131
Mailing address
143 W FRANKLIN ST, SUITE #600, CHAPEL HILL, NC 27516-2539

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2009-00269
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009929575
AL
05
010173256
VA
05
0585364
IA
05
06924205
MS
05
114677787
MI
05
150073003
AR
05
176189201
TX
05
200014510A
OK
05
200377100A
KS
05
200449440A
IN
05
209244102
MO
05
274915
OR
05
422400000
ME
05
5440442
TN
05
64068661
KY
05
82556500
WI
Enumeration date
05/23/2005
Last updated
04/24/2009
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