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CURT ALAN WICKELHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3232
Mailing address
PO BOX 632572, CINCINNATI, OH 45263-2572
(859) 341-2666
(859) 341-7867

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1046478
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
038782
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000537886
ANTHEM
05
0854606
OH
05
200878190
IN
05
74105818
KY
01
9130426
PHCS
Enumeration date
12/13/2005
Last updated
06/06/2025
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