Brian Montgomery Wicklund in Kansas City - Pediatric Hematology-oncology
Brian Montgomery Wicklund - NPI 1275599417
Brian Montgomery Wicklund is a Pediatric Hematology-oncology in Kansas City, Missouri. Brian Montgomery Wicklund practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Brian Montgomery Wicklund is 1275599417. The last update date is 2011-06-17.
Brian Montgomery Wicklund's current location address is 2401 Gillham Rd, Kansas City, Missouri. You can contact this provider via phone number 8162343000. The mailing address for Brian Montgomery Wicklund is 2401 Gillham Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Montgomery Wicklund |
|---|---|
| Address | 2401 Gillham Rd, Kansas City, Missouri |
| Phone Number | 8162343000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MDCM, MPH |
NPI Number Detail
| NPI Number | 1275599417 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2011-06-17 |
Provider Mailing Address Detail
| Address | 2401 Gillham Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641084619 |
| Phone Number | 8162343000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | R8H41 |
|
Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202615506 | MO | -- | |
| 100117230A | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brian Montgomery Wicklund by the Centers for Medicare & Medicaid Services?
The Brian Montgomery Wicklund has been assigned the NPI (National Provider Identifier) 1275599417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Brian Montgomery Wicklund is geographically located?
The Brian Montgomery Wicklund is physically situated at the following location: 2401 Gillham Rd, Kansas City, MO, 641084619.
What is Brian Montgomery Wicklund's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian Montgomery Wicklund is Pediatric Hematology-oncology, and the taxonomy classification code that categorizes this area of expertise is 2080P0207X.
On what date did the Brian Montgomery Wicklund receive its 1275599417 assignment from the Centers for Medicare & Medicaid Services?
The Brian Montgomery Wicklund was assigned its 1275599417 by the Centers for Medicare & Medicaid Services on 2006-04-25.
As of what date were the Brian Montgomery Wicklund's details last updated?
The information pertaining to the Brian Montgomery Wicklund, including its address, specialty, and other details, was most recently updated on 2011-06-17.