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Individual

KRISTEN KELLEY HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS RD LD

Contact information

Practice address
108 PARK PL, CAMP HILL, PA 17011-7222
(800) 203-8657
Mailing address
PO BOX 2238, BRYAN, TX 77806-2238
(800) 203-8657

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86006909
TX

Other

Enumeration date
08/14/2013
Last updated
02/24/2016
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