# BICKNELL MEDICAL CENTER PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093700577
- **Authorized official:** MRS. KIMBERLY R KIRKWOOD (BUSINESS MANAGER)
- **Authorized official phone:** (812) 735-4040

## Contact information

- **Practice address:** 510 W 11TH ST, BICKNELL, IN 47512-9626
- **Practice address phone:** (812) 735-4040
- **Practice address fax:** (812) 735-3332
- **Mailing address:** 510 W 11TH ST, BICKNELL, IN 47512-9626
- **Mailing address phone:** (812) 735-4040
- **Mailing address fax:** (812) 735-3332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 04/30/2014