Individual
DR. GRIFFIN KEITH BICKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 105, PADUCAH, KY 42003-3814
(270) 415-4802
(270) 415-4835
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5700
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
OS014170
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100212750
—
KY
Enumeration date
06/12/2009
Last updated
12/08/2020
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