Individual
KATHY WIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
130 FOREST SERVICE DR, MITCHELL COUNTY HEALTH DEPARTMENT, BAKERSVILLE, NC 28705-7047
(828) 688-2371
Mailing address
PO BOX 251, MONTEZUMA, NC 28653-0251
(828) 733-5574
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
029
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029
STATE LICENSE
NC
Enumeration date
04/11/2007
Last updated
07/08/2007
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