Bistricky, Kenneth Stephen
Bistricky, Kenneth Stephen is an individual health care provider with primary practice located at 650 E Indian School Rd , Phoenix AZ 85012-1839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bistricky, Kenneth Stephen can be contacted via phone (602) 277-5551.Contact Information
Primary practice address
650 E Indian School Rd
Phoenix AZ 85012-1839
Phone: (602) 277-5551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 8807 | Arizona |
Profile Details
| NPI number | 1093806762 |
|---|---|
| LBN Legal business name | Bistricky, Kenneth Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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