Bicknell Medical Center Professional Corporation

NPI #1093700577 in Bicknell, Indiana

Provider Information

NPI Number: 1093700577
Entity Type: Organization
Organization Name: Bicknell Medical Center Professional Corporation
Primary Specialty: Family Medicine
Enumeration Date: Sep 12, 2005
Last Updated: Apr 30, 2014

Practice Location

Address: 510 W 11TH ST
City: Bicknell
State: Indiana
ZIP Code: 47512-9626
Phone: (812) 735-4040

Authorized Official

Name: MRS. KIMBERLY R KIRKWOOD
Title: BUSINESS MANAGER
Phone: (812) 735-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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