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KELSEY WICKENHAUSER, PA

PA

Physician Assistant

NPI: 1972849321IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

2012037422(MO)085 005 018(IL)

Education

OTHER

Class of 2012

Contact & Hours

Address
1368 DADRIAN PROFESSIONAL PARK
GODFREY, IL 62035

Quick Facts

NPI
1972849321
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
14

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