NPI 1003937111

Kenneth Lee Sisco, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician San Tan Valley, AZ

Practice location

Address: 36386 N Secret Garden Path, San Tan Valley, AZ 85140-5434
Phone: (732) 673-7050

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 63928 (AZ)

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Registry record

NPI: 1003937111
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2007
Record last updated: 15 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.