Kenneth Wayne Sickel PA-C

NPI 1780821116 - Physician Assistant - 363A00000X

NPI Details
NPI 1780821116
Gender Male
Enumeration Date 01/07/2009
Last Updated 01/07/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1262 W 5TH ST
SHERIDAN WY, 82801-2702, US
Phone (307) 674-6166
Fax (307) 672-8687
Business Location
1262 W 5TH ST
SHERIDAN WY, 82801-2702, US
Phone (307) 674-6166
Fax (307) 672-8687
Toxanomy
Taxonomy Code 363A00000X
License State Wyoming
License Number 231
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According to our database, Kenneth Wayne Sickel PA-C NPI is 1780821116, taxonomy code is 363A00000X and license number is 231, license state is located at Wyoming. Kenneth Wayne Sickel PA-C physically located at 1262 W 5th St, Sheridan WY, 82801-2702. NPI Number Kenneth Wayne Sickel PA-C has the Individual type.

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1780821116 NPI number is provided on an as is basis without warranty of any kind. 1780821116 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Wayne Sickel PA-C are for informational purposes only.