Individual
DR. THOMAS KENT STICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
25 TURNER LN, WEST CHESTER, PA 19380-4805
(610) 696-1789
(610) 429-4258
Mailing address
25 TURNER LN, WEST CHESTER, PA 19380-4805
(610) 696-1789
(610) 429-4258
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
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