DR. Kenneth Lee Wichman, DPM

NPI #1922074020 in Manchester, Connecticut

Provider Information

NPI Number: 1922074020
Entity Type: Individual
Name: DR. Kenneth Lee Wichman, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Feb 27, 2006
Last Updated: Dec 28, 2007

Practice Location

Address: 117 E CENTER ST
City: Manchester
State: Connecticut
ZIP Code: 06040-5203
Phone: (860) 649-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

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