Hicks, Kenneth
Hicks, Kenneth is an sole proprietor health care provider with primary practice located at 1100 Kermit Dr Ste 106, Nashville TN 37217-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hicks, Kenneth can be contacted via phone (615) 361-6953.Contact Information
Primary practice address
1100 Kermit Dr Ste 106
Nashville TN 37217-2121
Phone: (615) 361-6953
Fax: (615) 360-0947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD0000011486 | Tennessee |
Profile Details
| NPI number | 1871573196 |
|---|---|
| LBN Legal business name | Hicks, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Oct 11th, 2013 - about 12 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 | 1871573196 | NPPES |
| Tennessee | MEDICAID | 3186178 |
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