Kickler, Thomas

Kickler, Thomas is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology, which is considered as his primary health care specialty. Kickler, Thomas can be contacted via phone (410) 955-2660.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Phone: (410) 955-2660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X D17578 Maryland

Profile Details

NPI number 1760423982
LBN Legal business name Kickler, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Apr 29th, 2021 - about 5 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 1760423982 NPPES
Maryland MEDICAID 766251300

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