KENNETH JAMES WICKEY

CHARLOTTE, NC
NPI1003506114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-13919)
Enumeration Date2023-05-11
Last Update Date2024-08-20
Business Address
KENNETH JAMES WICKEY PA
3158 FREEDOM DR STE 3102
CHARLOTTE, NC 28208-0014
Phone number: 704-332-0396
Mailing Address
KENNETH JAMES WICKEY PA
3158 FREEDOM DR STE 3101
CHARLOTTE, NC 28208-0014
Phone number: 704-348-2992
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