Hicks, Kyle Douglas
Hicks, Kyle Douglas is an sole proprietor health care provider with primary practice located at 20 E River Park Pl W , Fresno CA 93720-1551. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Hicks, Kyle Douglas can be contacted via phone (559) 256-4950.Contact Information
Primary practice address
20 E River Park Pl W
Fresno CA 93720-1551
Phone: (559) 256-4950
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Critical Care Medicine | 163WC0200X | 95069170 | California |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 95069170 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95022187 | California |
Profile Details
NPI number | 1700647542 |
---|---|
LBN Legal business name | Hicks, Kyle Douglas |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 18th, 2024 |
Last updated | Jan 18th, 2024 - about 8 months 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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