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1306895826 NPI number — KICKI SARA WEHLOU MD

NPI Number: 1306895826
Health Care Provider/Practitioner: KICKI SARA WEHLOU MD

Information about “1306895826” NPI (KICKI SARA WEHLOU MD) exists in 1306895826 in HTML format HTML  |  1306895826 in plain Text format TXT  |  1306895826 in PDF (Portable Document Format) PDF  |  1306895826 in an XML format XML  formats.

NPI Number : 1306895826 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306895826",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEHLOU",
    "FirstName": "KICKI",
    "MiddleName": "SARA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "LANDMARK INN",
    "SecondLineMailingAddress": "480 MAIN STREET",
    "MailingAddressCityName": "LACONIA",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03246",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-455-8036",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "85-87 SPRING STREET",
    "SecondLinePracticeLocationAddress": "CO DR WILLET",
    "PracticeLocationAddressCityName": "LACONIA",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03246",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-527-7121",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/10/2006",
    "LastUpdateDate": "03/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "167486",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "LT2245",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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