Individual provider · Type 1 NPI

Kelly Wickstrom, DO

Critical Care Medicine (Internal Medicine) Physician · Tucson, AZ

NPI number 1083092589 Active

Practice location

5301 E Grant Rd
Tucson, AZ 85712-2805

Call (520) 324-5696 Map

Fax (520) 324-1583

Mailing address

1501 N Campbell Ave Rm 6336, Box 245040
Tucson, AZ 85724-5040

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X008816 (AZ)
Internal Medicine Physician 207R00000XR2504 (AZ)
Pulmonary Disease Physician 207RP1001X008816 (AZ)
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X008816 (AZ)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1083092589

Kelly Wickstrom, DO's National Provider Identifier is 1083092589, issued on May 15, 2015. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Tucson, AZ. The record was last updated on Apr 29, 2023.