KENNEDI WICKHAM
NPI 1225955545
Dermatology in Glenn Dale, MD
About Kennedi Wickham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDI WICKHAM (NPI 1225955545) is an individual dermatology provider in Glenn Dale, Maryland, licensed in Maryland (C0010599) and active in the NPI registry since June 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kennedi Wickham's NPI number?
The NPI number for Kennedi Wickham is 1225955545. It was assigned to this individual provider in the NPPES registry on June 30, 2026.
Where is Kennedi Wickham located?
Kennedi Wickham practices at 12200 Annapolis Rd Ste 315, Glenn Dale, MD 20769. The listed phone number is (301) 249-0970.
What is Kennedi Wickham's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for Kennedi Wickham was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.