Individual
MR. ROBERT BRIAN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1144 FOXFIRE RD, BARDSTOWN, KY 40004-9528
(502) 348-2231
(502) 348-2231
Mailing address
1144 FOXFIRE RD, BARDSTOWN, KY 40004-9528
(502) 348-2231
(502) 348-2231
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA053
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187994
ANTHEM
KY
01
—
0007875244
AETNA
KY
01
—
0698960
CIGNA
KY
01
—
49-00035
UNITED HEALTHCARE
KY
Enumeration date
01/03/2007
Last updated
07/08/2007
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