Wicker Brown, Kai Alexandria
Wicker Brown, Kai Alexandria is an sole proprietor health care provider with primary practice located at 5716 Jackson St , Alexandria LA 71303-2042. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wicker Brown, Kai Alexandria can be contacted via phone (318) 767-6503.Contact Information
Primary practice address
5716 Jackson St
Alexandria LA 71303-2042
Phone: (318) 767-6503
Fax: (318) 703-8257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.203116 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.203116 | Louisiana |
Profile Details
| NPI number | 1457569063 |
|---|---|
| LBN Legal business name | Wicker Brown, Kai Alexandria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457569063 | NPPES |
| Louisiana | MEDICAID | 1808172 |
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