Individual provider · Type 1 NPI

Kenneth D. Wicker, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Knoxville, TN

NPI number 1992732994 Active

Practice location

2018 W Clinch Ave
Knoxville, TN 37916-2301

Fax (865) 539-8008

Mailing address

PO Box 634706
Cincinnati, OH 45263-0001

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XMD18702 (TN)
Pediatrics Physician 208000000XMD18702 (TN)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XMD18702 (TN)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1992732994

Kenneth D. Wicker, MD's National Provider Identifier is 1992732994, issued on Jun 26, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Knoxville, TN. The record was last updated on Nov 21, 2007.