Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G65480 | CA |
N | 2082S0105X | Plastic Hand Surgeon | G65480 | CA |
NPI | 1619910726 |
---|---|
Provider Name | Dr. Kyle D. Bickel |
First Address | San Francisco, CA 94109-4586 |
Second Address | San Francisco, CA 94109-4586 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 22/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020045873 | RAILROAD MEDICARE NUMBER (01) | CA |
193420600 | WORK COMPENSATION NUMBER (01) | CA |
4019270001 | CIGNA MEDICARE NUMBER (01) | CA |
912006609 | TRICARE PROVIDER NUMBER (01) | CA |
E89191 | (02) | CA |