DR. KENNETH STEPHEN BISTRICKY M.D.
NPI 1093806762
Dermatology in Phoenix, AZ

Active since September 27, 2006
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012(602) 277-5551 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Stephen Bistricky M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH STEPHEN BISTRICKY M.D. (NPI 1093806762) is an individual dermatology provider in Phoenix, Arizona, licensed in Arizona (8807) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1093806762
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. KENNETH STEPHEN BISTRICKYCredential: M.D.
Location Address650 E INDIAN SCHOOL RDPhoenix, AZ 85012-1839
Mailing Address3391 E. Cullumber StreetGilbert, AZ 85234 · (602) 277-5551
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093806762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 8807
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
650 E INDIAN SCHOOL RD, Phoenix, AZ 85012

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Nurse's Aide
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Social Worker
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Pharmacist
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Pharmacist
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Nurse Practitioner (Family)
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Psychologist (Clinical)
650 E INDIAN SCHOOL RD, 116B
PHOENIX, AZ 85012
Military Hospital
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Bistricky's NPI number?

The NPI number for Kenneth Bistricky is 1093806762. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Kenneth Bistricky located?

Kenneth Bistricky practices at 650 E Indian School Rd, Phoenix, AZ 85012. The listed phone number is (602) 277-5551.

What is Kenneth Bistricky's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Bistricky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.