Individual
KIMBERLY ANN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2430 S ROCKHILL AVE, ALLIANCE, OH 44601-5420
(330) 312-0884
Mailing address
2430 S ROCKHILL AVE, ALLIANCE, OH 44601-5420
(330) 312-0884
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
103699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103699
LPN
OH
Enumeration date
02/21/2023
Last updated
02/21/2023
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