Individual
DR. KIMBERLY WYCOFF BICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N. STATE STREET, GNH #3550, LOS ANGELES, CA 90033
(323) 226-7257
Mailing address
1021 5TH STREET #104, GNH #3550, SANTA MONICA, CA 90403
(310) 804-6525
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A94225
CA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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