Individual
KALI ELIZABETH WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11627
LA
Other
Enumeration date
08/11/2023
Last updated
09/22/2025
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