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Individual

DR. KENNETH TODD HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1999 S MAIN ST, SUITE 305-A, BLACKSBURG, VA 24060-6634
(540) 552-3671
(540) 552-3741
Mailing address
1999 S MAIN ST, SUITE 305-A, BLACKSBURG, VA 24060-6634
(540) 552-3671
(540) 552-3741

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556394
VA
111N00000X
Chiropractor
787
WV

Other

Enumeration date
05/04/2006
Last updated
06/17/2008
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