Individual
ROBERT ANTHONY KICKISH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
(727) 824-8165
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 281-9065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME126742
FL
Other
Enumeration date
03/30/2013
Last updated
05/06/2025
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