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

Kristin Wickham, MD

Individual provider Family Medicine Physician · NPI 1013368968

Kristin Wickham, MD is a Family Practice in Madisonville, Kentucky. Graduated from University of Louisville School of Medicine in 2016, 10 years ago. Practices with Baptist Health Deaconess Medical Group Inc, a 240-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
10
Trained at
University of Louisville School of Medicine
Licensed in
IN, KY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Clinic Dr
Madisonville, KY 42431-1661
Phone: (270) 825-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 52925 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11018785A (IN)

Record details

NPI number1013368968
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2016
Last updated in NPPESOctober 15, 2019
Mailing address2700 Stanley Gault Parkway Ste 129, Louisville, KY 40225-5176

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Baptist Health Deaconess Medical Group Inc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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