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KENNETH W SICKEL
1435 BURTON ST SHERIDAN WY 828012723
KENNETH W SICKEL is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1780821116. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 446242069. The primary specialty is PHYSICIAN ASSISTANT. The organization is BIG HORN HEALTH NETWORK. The address is 1435 BURTON ST, , SHERIDAN, WY, 828012723. The zip code is 828012723.
|Nation Provider ID||1780821116|
|PAC ID by PECOS||446242069|
|Professional Enrollment ID||I20040401001301|
|Name||KENNETH W SICKEL|
|Medical School Name||OTHER|
|Primary Specialty||PHYSICIAN ASSISTANT|
|All secondary specialties|
|Organization Name||BIG HORN HEALTH NETWORK|
|Group Practice PAC ID||1254476484|
|Number of Group Practice members||29|
|Address||1435 BURTON ST, , SHERIDAN, WY, 828012723|
|Hospital affiliation LBN||MEMORIAL HOSPITAL OF SHERIDAN COUNTY|