Organization
KELLY BICKLE MD INC
Active
Other names
KELLY BICKLE, MD
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BICKLE MD (OWNER)
(310) 878-4590
Entity
Organization
Contact information
Practice address
1244 7TH ST STE 204, SANTA MONICA, CA 90401-1648
(310) 878-4590
(424) 214-3301
Mailing address
1244 7TH ST STE 204, SANTA MONICA, CA 90401-1648
(310) 878-4590
(424) 214-3301
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
A95166
CA
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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