Individual
KENNETH WAYNE SICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1262 W 5TH ST, SHERIDAN, WY 82801-2702
(307) 674-6166
(307) 672-8687
Mailing address
813 HIGHLAND AVE, SHERIDAN, WY 82801-2729
(307) 673-5501
(307) 333-0488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
231
WY
Other
Enumeration date
01/07/2009
Last updated
01/06/2017
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