Individual
DR. KAYCIA L VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 N COIT RD STE 302, MCKINNEY, TX 75071-6656
(865) 970-9800
(865) 373-8225
Mailing address
109 W 27TH ST STE 5S, NEW YORK, NY 10001-6208
(917) 634-5311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
39199
TN
2084P0800X
Psychiatry Physician
Primary
J4584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331500631
—
AL
01
—
51529598
BCBS
AL
01
—
557993000
MAGELLAN
—
05
—
Q027315
—
TN
Enumeration date
08/31/2006
Last updated
07/19/2022
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