Individual provider · Type 1 NPI
Kennedi Wickham
Dermatology Physician · Glenn Dale, MD
Practice location
12200 Annapolis Rd Ste 315
Glenn Dale, MD 20769-9182
Mailing address
13917 Rockingham Rd
Germantown, MD 20874-2230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician Primary | 207N00000X | C0010599 (MD) |
Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…
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About NPI 1225955545
Kennedi Wickham's National Provider Identifier is 1225955545, issued on Jun 30, 2026. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Glenn Dale, MD. The record was last updated on Jun 30, 2026.