CAROLYN KAY WICKENKAMP

COEUR D ALENE, ID
NPI1114937661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD00034130)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
-- CAROLYN KAY WICKENKAMP MD
8795 W DRIFTWOOD DR
COEUR D ALENE, ID 83814-9602
Phone number: 208-777-8427
Mailing Address
-- CAROLYN KAY WICKENKAMP MD
15425 E MISSION AVE
SPOKANE VALLEY, WA 99037-9505
Phone number: 509-924-7010
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