# KESHAWN HICKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184455420
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0000X | Pain Management Registered Nurse | RN197191 | GA | — |
| 163WW0000X | Wound Care Registered Nurse | RN197191 | GA | — |
| 251J00000X | Nursing Care Agency | RN197191 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | RN197191 | GA | Yes |

## Other

- **Enumeration date:** 08/09/2024
- **Last updated:** 08/09/2024