Hicks, Mackenzie
Hicks, Mackenzie is an individual health care provider with primary practice located at 1001 Saint Joseph Ln , London KY 40741-8345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hicks, Mackenzie can be contacted via phone (606) 330-6768.Contact Information
Primary practice address
1001 Saint Joseph Ln
London KY 40741-8345
Phone: (606) 330-6768
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 3014428 | Kentucky |
Profile Details
| NPI number | 1881229219 |
|---|---|
| LBN Legal business name | Hicks, Mackenzie |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2020 |
| Last updated | Mar 5th, 2020 - about 4 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 | 1881229219 | NPPES |
| Kentucky | Other | 3014428 | APRN LICENSE |
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