Individual
KEVIN ANDREW HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300A TEMPLE LAKE DR, SUITE 1, COLONIAL HEIGHTS, VA 23834-2972
(804) 524-2400
(804) 526-1852
Mailing address
300A TEMPLE LAKE DR, SUITE 1, COLONIAL HEIGHTS, VA 23834-2972
(804) 524-2400
(804) 526-1852
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101238458
VA
207RR0500X
Rheumatology Physician
23433
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427106624
—
VA
Enumeration date
01/06/2007
Last updated
10/31/2023
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