Individual
MRS. KELLI M HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2071
(205) 759-7111
Mailing address
793 COUNTY ROAD 57, GORDO, AL 35466-3844
(205) 454-8787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-135782
AL
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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