Bicking, Griffin Keith

Bicking, Griffin Keith is an individual health care provider with primary practice located at 2603 Kentucky Ave Suite 105, Paducah KY 42003-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Bicking, Griffin Keith can be contacted via phone (270) 415-4802.

Contact Information

Primary practice address
2603 Kentucky Ave Suite 105 Paducah KY 42003-3814
Fax: (270) 415-4835
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X OS014170 Pennsylvania

Profile Details

NPI number 1467689844
LBN Legal business name Bicking, Griffin Keith
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2009
Last updated Dec 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467689844 NPPES
Kentucky MEDICAID 7100212750

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