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Individual
MR. ROBERT BRIAN HICKS
Active
Individual
MR. ROBERT BRIAN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA053
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187994
ANTHEM
KY
01
—
0007875244
AETNA
KY
01
—
0698960
CIGNA
KY
01
—
49-00035
UNITED HEALTHCARE
KY
Enumeration date
01/03/2007
Last updated
07/08/2007
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