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

Kennedi Wickham

Individual provider Dermatology Physician · NPI 1225955545

Kennedi Wickham is a Dermatology Physician in Glenn Dale, Maryland. Licensed in Maryland. Registered with an NPI since 2026.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

12200 Annapolis Rd Ste 315
Glenn Dale, MD 20769-9182
Phone: (301) 249-0970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence C0010599 (MD)

Record details

NPI number1225955545
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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