Individual
KATHLEEN HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
4419 SANDIA RUN, FORT WAYNE, IN 46845-9074
(260) 437-8094
Mailing address
4419 SANDIA RUN, FORT WAYNE, IN 46845-9074
(260) 437-8094
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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