Kyle Rollin Wicks, PA-C

Physician Assistant · Roseburg, OR

Individual Active NPI

NPI number 1750995577

Practice location

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone
(541) 677-7200
Fax
(541) 229-3309

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NPI record

NPI
1750995577
Entity type
Individual (Type 1)
Enumeration date
August 31, 2020
Last updated
February 6, 2023
Certified
February 6, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

About Kyle Wicks

Kyle Rollin Wicks, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471-6214. The NPI number 1750995577 was assigned on August 31, 2020 and the record was last updated on February 6, 2023.

Frequently asked questions

What is the NPI number of Kyle Rollin Wicks, PA-C?

The NPI number is 1750995577.

What is the phone number of Kyle Wicks?

The phone number listed for the practice location is (541) 677-7200.

Where is Kyle Wicks located?

2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471-6214.

What is the taxonomy code for Kyle Wicks?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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