DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS C. KICKHAM, D.O.

Active

THOMAS C. KICKHAM, D.O. is a General Practice healthcare provider located in WALHALLA, South Carolina. NPI 1669434437 is currently active in the NPPES registry. Verify at CMS.

General Practice · WALHALLA, SC

Registration Details

NPI Number
1669434437
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2006 (20.381496337715 yrs)
Last Updated
Dec 13, 2023
Licenses
241 (SC)
241 (SC)

Practice Information

Address
200 BOOKER DR
WALHALLA, SC, 296912278
Browse SC providers · Browse ZIP 29691
Phone
8646563076
Fax
8439859562
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
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.