Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Lee Sisco, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1003937111

Dr. Kenneth Lee Sisco, MD is an Anatomic Pathology & Clinical Pathology Physician in San Tan Valley, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

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

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 63928 (AZ)

Record details

NPI number1003937111
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023