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Individual
DR. ADAM BRADBURN HICKS
Active
Individual
DR. ADAM BRADBURN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
'00317
KY
213E00000X
Podiatrist
Primary
DPM750
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
00317
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM750
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054697
PASSPORT
KY
01
—
50030378
PASSPORT
KY
05
—
7100092710
—
KY
01
—
80903453
MEDICAID DME
KY
Enumeration date
03/10/2009
Last updated
03/16/2022
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