Individual
DR. KYLE D. BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 CALIFORNIA ST, SUITE 450, SAN FRANCISCO, CA 94109-4586
(415) 751-4263
(415) 359-1925
Mailing address
1700 CALIFORNIA ST, SUITE 450, SAN FRANCISCO, CA 94109-4586
(415) 751-4263
(415) 359-1925
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G65480
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
G65480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020045873
RAILROAD MEDICARE NUMBER
CA
01
—
193420600
WORK COMPENSATION NUMBER
CA
01
—
4019270001
CIGNA MEDICARE NUMBER
CA
01
—
912006609
TRICARE PROVIDER NUMBER
CA
Enumeration date
06/14/2006
Last updated
05/22/2014
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