Individual
KYLE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
260 KNOWLES AVE STE 226, SOUTHAMPTON, PA 18966-1556
(215) 346-5252
Mailing address
260 KNOWLES AVE STE 226, SOUTHAMPTON, PA 18966-1556
(215) 346-5252
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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