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Individual

DR. SCOTT GRAHAM BICKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(502) 588-4940
(502) 588-7712
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6789
(502) 588-9490
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
46010
KY
2080P0214X
Pediatric Pulmonology Physician
Primary
46010
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201208940
IN
05
7100172080
KY
Enumeration date
03/24/2010
Last updated
10/10/2025
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