Hicks, Kandree
Hicks, Kandree is an individual health care provider with primary practice located at 120 Connecticut Ave , Norwalk CT 06854-1525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hicks, Kandree can be contacted via phone (203) 899-1770.Contact Information
Primary practice address
120 Connecticut Ave
Norwalk CT 06854-1525
Phone: (203) 899-1770
Fax: (203) 899-1769
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 004157 | Connecticut |
Profile Details
NPI number | 1215169578 |
---|---|
LBN Legal business name | Hicks, Kandree |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2009 |
Last updated | Nov 2nd, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215169578 | NPPES |
Connecticut | MEDICAID | 004236346 |
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