Kyle Rollin Wicks, PA-C
Kyle Rollin Wicks, PA-C is a Physician Assistant in Roseburg, Oregon. Qualified in 2020, 6 years ago. Practices with Centennial Medical Group East LLC, a 63-clinician group and accepts Medicare assignment.
- Years since qualifying
- 6
- In the registry since
- 2020
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2570 NW Edenbower Blvd Ste 100Roseburg, OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1750995577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 31, 2020 |
| Last updated in NPPES | February 6, 2023 |
| Certification date | February 6, 2023 |
| Mailing address | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Centennial Medical Group East Llc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Roseburg
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Eve Marie Traill, PA-C
1700 NW Garden Valley Blvd Ste 201, Roseburg, OR 97471-1636 · (541) 464-0788
-
Emmalee Vittetoe
2700 NW Stewart Pkwy, Roseburg, OR 97471-1281 · (541) 673-0611
-
Sarah Vouch, PA-C
1813 W Harvard Ave Ste 310, Roseburg, OR 97471-2756 · (541) 672-7546
-
Jacob Watters
2700 NW Stewart Pkwy, Roseburg, OR 97471-1281 · (541) 673-0611
-
Jennifer Ann Brough Wilson, PA
2440 NW Edenbower Blvd, Roseburg, OR 97471-8847 · (541) 957-1141