Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenzie Lane Wickman, PHARMD

Individual provider Pharmacist · NPI 1891071585

Dr. Kenzie Lane Wickman, PHARMD is a Pharmacist in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

5702 Raymond Rd
Madison, WI 53711-4232
Phone: (608) 278-8037
Fax: (608) 278-8213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 13785-40 (WI)

Record details

NPI number1891071585
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 26, 2011
Last updated in NPPESOctober 26, 2011

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