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Kelsey Wickham, FNP
NPI 1831858745 · on the registry since 2021
Practice
- Address
- 1375 Nw Kingston Ave
Bend, OR 97703 - Phone
- (541) 274-0240
- Organisation at this address
- Kids Intervention & Diagnostic Service Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon