Individual provider · Type 1 NPI

Jennifer Sue Kicker, MD

Pediatric Critical Care Medicine Physician · Bethesda, MD

NPI number 1780776773 Active

Practice location

8901 Wisconsin Avenue, Walter Reed National Military Medical Center
Bethesda, MD 20889-0001

Mailing address

8901 Wisconsin Ave
Bethesda, MD 20889-0006

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X0101240654 (VA)
Pediatric Critical Care Medicine Physician 2080P0203XMD60323638 (WA)
Pediatric Critical Care Medicine Physician Primary 2080P0203X0101240654 (VA)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1780776773

Jennifer Sue Kicker, MD's National Provider Identifier is 1780776773, issued on Sep 28, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Bethesda, MD. The record was last updated on Apr 17, 2024.