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Organization
BICKNELL MEDICAL CENTER PROFESSIONAL CORPORATION
Active
Organization
BICKNELL MEDICAL CENTER PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY R KIRKWOOD (BUSINESS MANAGER)
(812) 735-4040
Entity
Organization
Contact information
Practice address
510 W 11TH ST, BICKNELL, IN 47512-9626
(812) 735-4040
(812) 735-3332
Mailing address
510 W 11TH ST, BICKNELL, IN 47512-9626
(812) 735-4040
(812) 735-3332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2005
Last updated
04/30/2014
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