Individual
MR. CHRISTOPHER KIP HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO/LPO
Contact information
Practice address
909 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4333
(256) 539-7997
(256) 539-7991
Mailing address
909 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4333
(256) 539-7997
(256) 539-7991
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO 02437
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148605
—
AL
01
—
753014671
FEDERAL TAX ID #
—
Enumeration date
07/12/2005
Last updated
09/17/2021
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