Hicks, Kenneth Lee
Hicks, Kenneth Lee is an sole proprietor health care provider with primary practice located at 610 Old Tar Village Rd Ste E , Winterville NC 28590-7936. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hicks, Kenneth Lee can be contacted via phone (252) 215-0990.Contact Information
Primary practice address
610 Old Tar Village Rd Ste E
Winterville NC 28590-7936
Phone: (252) 215-0990
Fax: (252) 215-0922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2728 | North Carolina |
Profile Details
| NPI number | 1235111287 |
|---|---|
| LBN Legal business name | Hicks, Kenneth Lee |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jan 23rd, 2008 - about 16 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 | 1235111287 | NPPES |
| North Carolina | MEDICAID | 890839U |
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