Organization
KEVIN HICKMAN CRNA NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HICKMAN CRNA (SOLE OWNER)
(315) 706-5669
Entity
Organization
Contact information
Practice address
8816 BURTON WAY, BEVERLY HILLS, CA 90211-1715
(310) 285-9612
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4391
CA
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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