Organization
HICKS CHIROPRACTIC, P.A.
Active
Organization
HICKS CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LEE HICKS JR. D.C. (PRESIDENT)
(252) 412-2005
Entity
Organization
Contact information
Practice address
610 OLD TAR VILLAGE RD STE E, WINTERVILLE, NC 28590-7936
(252) 215-0990
Mailing address
610 OLD TAR VILLAGE RD STE E, WINTERVILLE, NC 28590-7936
(252) 215-0990
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2728
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890839U
—
NC
Enumeration date
09/13/2006
Last updated
01/23/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up