Individual
DR. KYLE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0002
(602) 933-6216
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.065978
IL
208000000X
Pediatrics Physician
Primary
55018
AZ
Other
Enumeration date
07/02/2014
Last updated
07/23/2019
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