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
Fax: (804) 526-1852
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427106624 NPPES
Virginia MEDICAID 1427106624

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