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Individual
SUSAN RENEE HICKS
Active
Individual
SUSAN RENEE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
1117248
KY
363L00000X
Nurse Practitioner
3012695
KY
363LF0000X
Family Nurse Practitioner
Primary
3012695
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100561170
—
KY
Enumeration date
03/09/2018
Last updated
08/25/2026
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