Individual
DR. THOMAS KENT STICKLEY
Active
Individual
DR. THOMAS KENT STICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC003157L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067363
BLUE CROSS BLUE SHIELD
PA
Enumeration date
01/16/2007
Last updated
02/19/2015
Update your record
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