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

Kathryn Wickman

Individual provider Midwife · NPI 1962069633

Kathryn Wickman is a Midwife in Thousand Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

2846 Amber Wood Pl
Thousand Oaks, CA 91362-1236
Phone: (805) 915-9602
Fax: (805) 273-7208
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Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 570 (CA)

Record details

NPI number1962069633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 28, 2019
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address2846 Amber Wood Pl, Thousand Oaks, CA 91362-1236

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