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NPI Code Detail

MEDICARE: KIMBERLY ANNE KASOW WICHLAN

MEDICARE: KIMBERLY ANNE KASOW WICHLAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0207XPediatric Hematology & Oncology Physician2009-00269NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346243466
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANNE KASOW WICHLAN
Provider Business Mailing Address
First Line : 143 W FRANKLIN ST
Second Line : SUITE #600
City : CHAPEL HILL
State : NC
Zip : 27516-2539
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27599-0001
Country : US
Telephone Number : 919-966-4131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 04/24/2009

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1427053594 — ELIZABETH B DREESEN MD
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Practice Location Address:
CAMPUS BOX 7190 WING D MEDICAL SCHOOL , UNIVERSITY OF NORTH CAROLINA
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CB 7574 BEARD HALL 115H , SCHOOL OF PHARMACY
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Directions to “ KIMBERLY ANNE KASOW WICHLAN ” Practice Location

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