Individual
KIMBERLY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
430 E PEASE AVE, DAYTON, OH 45449-1357
(937) 859-5121
Mailing address
430 E PEASE AVE, DAYTON, OH 45449-1357
(937) 859-5121
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
243508
OH
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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