Wicker, Kenneth D.

Wicker, Kenneth D. is an individual health care provider with primary practice located at 2018 W Clinch Ave , Knoxville TN 37916-2301. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Wicker, Kenneth D. can be contacted via phone (865) 541-8000.

Contact Information

Primary practice address
2018 W Clinch Ave Knoxville TN 37916-2301
Phone: (865) 541-8000
Fax: (865) 539-8008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD18702 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD18702 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD18702 Tennessee

Profile Details

NPI number 1992732994
LBN Legal business name Wicker, Kenneth D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 21st, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992732994 NPPES
Kentucky MEDICAID 64928021
Kentucky MEDICAID 3082433
Kentucky MEDICAID 3082430
Kentucky Other 3055615
Kentucky MEDICAID 3082434
Kentucky Other 4152062
Kentucky Other 3112589

Popular Providers