Bickle, Kelly Mccabe

Bickle, Kelly Mccabe is an individual health care provider with primary practice located at 1755 N. Florida Avenue , Lakeland FL 33805-3109. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bickle, Kelly Mccabe can be contacted via phone (863) 904-6200.

Contact Information

Primary practice address
1755 N. Florida Avenue Lakeland FL 33805-3109
Phone: (863) 904-6200
Fax: (863) 904-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME90648 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME90648 Florida

Profile Details

NPI number 1417926726
LBN Legal business name Bickle, Kelly Mccabe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 1st, 2010 - about 15 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 1417926726 NPPES
Florida MEDICAID 000758500

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