Individual
DR. KIM ARTHUR WICKWIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3706 N FABER AVE, PEORIA HEIGHTS, IL 61616-7614
(309) 685-6910
(309) 685-7313
Mailing address
3706 N FABER AVE, PEORIA HEIGHTS, IL 61616-7614
(309) 685-6910
(309) 685-7313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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