Kevin A Wicker, CPO
Prosthetist in Morganton, NC. Individual provider (NPI-1).
NPI number1457567752
StatusActive
Last updated in NPPESMay 8, 2017
Details
- NPI
- 1457567752
- Entity type
- Individual (NPI-1)
- Name
- Kevin A Wicker
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2007
- Last updated
- May 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | – | – | Yes |
| 222Z00000X | – | – |
Practice location
1603 S Sterling StMorganton, NC 28655-4097
Phone 828-391-5164 · Fax 828-391-5011
Mailing address
1603 S Sterling StMorganton, NC 28655-4097
Phone 828-391-5164 · Fax 828-391-5011
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