Hicks, Kevin Andrew
Hicks, Kevin Andrew is an sole proprietor health care provider with primary practice located at 300A Temple Lake Dr Suite 1, Colonial Heights VA 23834-2972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Hicks, Kevin Andrew can be contacted via phone (804) 524-2400.Contact Information
Primary practice address
300A Temple Lake Dr Suite 1
Colonial Heights VA 23834-2972
Phone: (804) 524-2400
Fax: (804) 526-1852
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 23433 | New Hampshire |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0101238458 | Virginia |
Profile Details
NPI number | 1427106624 |
---|---|
LBN Legal business name | Hicks, Kevin Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 6th, 2007 |
Last updated | Oct 31st, 2023 - about 2 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 | 1427106624 | NPPES |
Virginia | MEDICAID | 1427106624 |
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