Individual
KEVIN D HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3330 ARCTIC BLVD STE 206, ANCHORAGE, AK 99503-4580
(907) 333-4343
(907) 333-4843
Mailing address
3330 ARCTIC BLVD STE 206, ANCHORAGE, AK 99503-4580
(907) 333-4343
(907) 333-4383
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
02/21/2025
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