Individual
KELLY ANNE HICKS
Active
Individual
KELLY ANNE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N5106
TX
2080P0205X
Pediatric Endocrinology Physician
Primary
N5106
TX
Other
Enumeration date
10/21/2012
Last updated
03/10/2022
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