Individual
DR. BRENTON DESHAWN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5563 NW BARRY RD, KANSAS CITY, MO 64154-1408
(816) 710-6673
(816) 710-6673
Mailing address
5563 NW BARRY RD, KANSAS CITY, MO 64154-1408
(816) 710-6673
(816) 710-6673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2021018729
MO
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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