KELLY BICKLE MD INC NPI 1255845657

NPI Information

KELLY BICKLE MD INC is a dermatopathology dermatology in Santa Monica, CA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. KELLY BICKLE MD INC NPI is 1255845657. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kelly Bickle, Md.

The provider's business location address is:

1244 7TH ST STE 204
SANTA MONICA, CA
ZIP 90401-648
Phone: (310) 878-4590
Fax: (424) 214-3301

The provider's authorized official is Kelly Bickle .
The authorized official title is Owner and has the following contact phone number (310) 878-4590.

The enumeration date for this NPI number is 11/21/2017 and was last updated on 11/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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