Kathryn Wickman
Midwife in Thousand Oaks, CA. Individual provider (NPI-1).
NPI number1962069633
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1962069633
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Wickman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2019
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | 570 | CA | Yes |
Practice location
2846 Amber Wood PlThousand Oaks, CA 91362-1236
Phone 805-915-9602 · Fax 805-273-7208
Mailing address
2846 Amber Wood PlThousand Oaks, CA 91362-1236
Phone 805-915-9602 · Fax 805-273-7208
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