Individual
SHAINA MAE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1856 ASHWOOD CIR, FT WRIGHT, KY 41011-2602
(859) 331-8000
Mailing address
1856 ASHWOOD CIR, FT WRIGHT, KY 41011-2602
(859) 331-8000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5585
KY
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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