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Individual

KEVIN A WICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
1603 S STERLING ST, MORGANTON, NC 28655-4097
(828) 391-5164
(828) 391-5011
Mailing address
1603 S STERLING ST, MORGANTON, NC 28655-4097
(828) 391-5164
(828) 391-5011

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
05/15/2007
Last updated
05/08/2017
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