Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY WICKSTROM, D.O.
ActiveKELLY WICKSTROM, D.O. is a Critical Care Medicine healthcare provider located in TUCSON, Arizona. NPI 1083092589 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · TUCSON, AZ
Registration Details
- NPI Number
- 1083092589
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2015 (11.289128457071 yrs)
- Last Updated
- Apr 29, 2023
- Licenses
-
008816 (AZ)R2504 (AZ)008816 (AZ)008816 (AZ)
Practice Information
- Address
-
5301 E GRANT RDTUCSON, AZ, 857122805Browse AZ providers · Browse ZIP 85712
- Phone
- 5203245696
- Fax
- 5203241583
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Critical Care Medicine
Other Critical Care Medicine Providers in TUCSON, AZ
| Name | Credential | NPI |
|---|---|---|
| MOHAMMAD K KHEDR | MD | 1427051705 |
| DR. EDWARD M. OMRON | M.D., M.P.H., FCCP | 1134123755 |
| FREDY TOIBER | M.D. | 1194722322 |
| BRIAN Y SHON | MD | 1508858739 |
| DR. LISA A KAISER | D.O. | 1508811738 |
| MR. SAM ALNAJJAR | MD | 1972612158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.