Individual
KIMBERLY ANNE KASOW WICHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
Update your record
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