Kelly Wickstrom, D.O.
NPI 1083092589 belongs to Kelly Wickstrom, D.O., a critical care medicine (internal medicine) physician with a practice location in Tucson, AZ. The NPI was issued on May 15, 2015, and the record was last updated in NPPES on April 29, 2023. The record lists 4 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician Primary | 207RC0200X | 008816 (AZ) |
| Internal Medicine Physician | 207R00000X | 008816 (AZ) |
| Internal Medicine Physician | 207R00000X | R2504 (AZ) |
| Pulmonary Disease Physician | 207RP1001X | 008816 (AZ) |
Practice location
Local context
Active NPPES records list 24 providers with critical care medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 16 of them within 10 miles.
The same primary taxonomy is listed by 220 in Arizona and 7,319 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Kelly Wickstrom
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
Building software? Fetch this NPI programmatically with the NPILayer Provider API.
curl -H "Authorization: Bearer YOUR_API_KEY" \ "https://api.npilayer.com/v1/providers/1083092589"