Search › Wisconsin › 152W00000X
Steven Ticknor, OD
NPI 1174260715 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3621 Market Ln
Kenosha, WI 53144 - Phone
- (262) 658-8119
- Fax
- (262) 658-8261
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin