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Organization
KIMBERLY HICKS M D INC
Active
Organization
KIMBERLY HICKS M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HICKS MD (CEO)
(510) 517-8005
Entity
Organization
Contact information
Practice address
3317 ELM ST STE 102, OAKLAND, CA 94609-3053
(510) 595-9880
(510) 595-9881
Mailing address
3317 ELM ST STE 102, OAKLAND, CA 94609-3053
(510) 595-9880
(510) 517-8001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972661254
—
CA
Enumeration date
01/16/2019
Last updated
01/16/2019
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