Individual
KIMBERLY D WHICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 NORRIS ST, EUREKA SPRINGS, AR 72632-3541
(479) 253-7400
Mailing address
PO BOX 960454, OKLAHOMA CITY, OK 73196-0454
(800) 684-1598
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-6742
AR
207Q00000X
Family Medicine Physician
E-6742
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185539001
—
AR
Enumeration date
06/12/2009
Last updated
04/30/2013
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