Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE ROLLIN WICKS, PA-C
ActiveKYLE ROLLIN WICKS, PA-C is a Physician Assistant healthcare provider located in ROSEBURG, Oregon. NPI 1750995577 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROSEBURG, OR
Registration Details
- NPI Number
- 1750995577
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2020 (5.9395649546883 yrs)
- Last Updated
- Feb 6, 2023
Practice Information
- Address
-
2570 NW EDENBOWER BLVD STE 100ROSEBURG, OR, 974716214Browse OR providers · Browse ZIP 97471
- Phone
- 5416777200
- Fax
- 5412293309
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| EVE MARIE TRAILL | PA-C | 1356331060 |
| KERRY LYN HARRINGTON | PA-C | 1760473060 |
| MARGOT OUIMETTE | PA | 1700858289 |
| CHARLES A MUSGRAVE | PA-C | 1386617520 |
| MR. CLYDE TERRENCE BANCROFT | PA | 1841397742 |
| PAUL J FIEBER | P.A. | 1043371305 |
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.