Individual
KIMBERLY R HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1019 KEITH DR, PERRY, GA 31069-4951
(478) 988-8556
Mailing address
1019 KEITH DR, STE A, PERRY, GA 31069-4952
(740) 751-5516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237831
GA
363LF0000X
Family Nurse Practitioner
COA 09489
OH
Other
Enumeration date
08/07/2007
Last updated
06/27/2016
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