Individual
SHELBY KAY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2930 CHESTERFIELD AVE, CHARLESTON, WV 25304-1125
(304) 351-1700
Mailing address
43 ELBERTA DR, CHARLESTON, WV 25306-9189
(304) 541-9780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
108406
WV
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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