Carolyn Kay Wickenkamp, MD

NPI #1114937661 in Coeur D Alene, Idaho

Provider Information

NPI Number
1114937661
Entity Type
Individual
Name
Carolyn Kay Wickenkamp, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Aug 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
8795 W DRIFTWOOD DR
State
Idaho
ZIP Code
83814-9602
Phone
(208) 777-8427

Specialties & Taxonomy Codes

Specialty
Family Medicine

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