MEDICARE: ASHLEY BROOKE WICKER MD

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
1	207L00000X	Anesthesiology Physician	59442	KY
2	207LP3000X	Pediatric Anesthesiology Physician	59442	KY

General Provider Information

NPI Number	:	1942820410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY BROOKE WICKER MD

Provider Business Mailing Address
First Line	:	101 MANNING DRIVE
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-1772
Country	:	US
Telephone Number	:	919-966-5136
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 ROSE ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-4220
Country	:	US
Telephone Number	:	859-323-5956
Fax Number	:	859-323-1080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2020
Last Update Date	:	06/10/2025

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Directions to “ ASHLEY BROOKE WICKER MD” Practice Location

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