Sisco, Kenneth Lee

Sisco, Kenneth Lee is an sole proprietor health care provider with primary practice located at 36386 N Secret Garden Path , San Tan Valley AZ 85140-5434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Sisco, Kenneth Lee can be contacted via phone (732) 673-7050.

Contact Information

Primary practice address
36386 N Secret Garden Path San Tan Valley AZ 85140-5434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 63928 Arizona

Profile Details

NPI number 1003937111
LBN Legal business name Sisco, Kenneth Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jun 15th, 2023 - about 3 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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