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Contact Information

KELLY M BICKLE, MD
1755 N. FLORIDA AVENUE
LAKELAND, FL33805-3109
 Phone: 863-904-6200
 Fax: 863-904-6280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KELLY M BICKLE · (Female)

NPI Number 1417926726
Status Active
Credentials MD
Entity Individual
Enumeration date 03/17/2006
Last updated 06/01/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME90648
  • FL Medicaid 000758500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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