DR. KYLE GARY FITZGERALD WICKER JR. MD
NPI 1912757360
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Dr. Kyle Gary Fitzgerald Wicker Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE GARY FITZGERALD WICKER JR. MD (NPI 1912757360) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Kyle Wicker's NPI number?
The NPI number for Kyle Wicker is 1912757360. It was assigned to this individual provider in the NPPES registry on March 26, 2024.
Where is Kyle Wicker located?
Kyle Wicker practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (404) 396-3851.
What is Kyle Wicker's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Kyle Wicker was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Kyle Gary Fitzgerald Wicker Jr., MD · NPI 1912757360
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 26, 2024.
## Identity
- **NPI:** 1912757360 (Entity type: Individual)
- **Enumerated:** March 26, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (404) 396-3851
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912757360) · Data from the CMS NPPES public registry.