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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871573196 NPPES
Tennessee MEDICAID 3186178

Popular Providers