Kevin Andrew Hicks
Neuromusculoskeletal Medicine (NMM)
300a Temple Lake Dr Suite 1
Colonial Heights
, Virginia 23834-2972
Kevin Andrew Hicks
Neuromusculoskeletal Medicine (NMM)
300a Temple Lake Dr Suite 1
Colonial Heights
, Virginia 23834-2972
(804) 526-1852
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Kevin Andrew Hicks
- 300a Temple Lake Dr Suite 1
- Colonial Heights, VA
- Zip : 23834-2972
- Fax : (804) 526-1852
- Phone : (804) 524-2400
Second Address
- Kevin Andrew Hicks
- 300a Temple Lake Dr Suite 1
- Colonial Heights, VA
- Zip : 23834-2972
- Fax : (804) 526-1852
- Phone : (804) 524-2400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 0101238458 | VA |
National Provider Identifier
| NPI | 1427106624 |
|---|---|
| Provider Name | Kevin Andrew Hicks |
| First Address | Colonial Heights, VA 23834-2972 |
| Second Address | Colonial Heights, VA 23834-2972 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2007 |
| Last Update Date | 25/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1427106624 | (05) | VA |
| H19898 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.