Hickerson, Larry Thomas

Hickerson, Larry Thomas is an individual health care provider with primary practice located at 226 Medical Plaza Ln , Whitesburg KY 41858-7425. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hickerson, Larry Thomas can be contacted via phone (606) 633-4871.

Contact Information

Primary practice address
226 Medical Plaza Ln Whitesburg KY 41858-7425
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3015776 Kentucky

Profile Details

NPI number 1376134767
LBN Legal business name Hickerson, Larry Thomas
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2021
Last updated May 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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