Individual
DR. KRISTY RENEE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1808
(571) 231-1834
Mailing address
9036 LORTON STATION BLVD, APT# 419, LORTON, VA 22079-4768
(570) 971-8680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102203443
VA
207Q00000X
Family Medicine Physician
Primary
0116023948
VA
Other
Enumeration date
06/22/2011
Last updated
07/31/2013
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