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Kelsey Wickenhauser, PA
NPI 1972849321 · on the registry since 2012
Practice
- Address
- 1368 Dadrian Professional Park
Godfrey, IL 62035 - Phone
- (309) 530-9841
- Organisation at this address
- Optimal Health Medicine Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-13
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 Illinois