Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH STEPHEN BISTRICKY, M.D.
ActiveDR. KENNETH STEPHEN BISTRICKY, M.D. is a Dermatology healthcare provider located in PHOENIX, Arizona. NPI 1093806762 is currently active in the NPPES registry. Verify at CMS.
Dermatology · PHOENIX, AZ
Registration Details
- NPI Number
- 1093806762
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2006 (19.89378854631 yrs)
- Last Updated
- Jul 8, 2007
- License
-
8807 (AZ)
Practice Information
- Address
-
650 E INDIAN SCHOOL RDPHOENIX, AZ, 850121839Browse AZ providers · Browse ZIP 85012
- Phone
- 6022775551
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| GERALD ARTHUR ROSENBLUM | MD | 1386648350 |
| LEE P LARIS | DO | 1649274671 |
| JOHN STATHAKIS | DO | 1265426910 |
| DEBORAH S. MENDELSON | MD | 1508852492 |
| BILL HALE HALMI | MD | 1245226042 |
| DR. LAWRENCE J BRECKER | M.D. | 1407847163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.