Individual
MR. RONALD TYRONE HICKS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADPSS
Contact information
Practice address
3934 DIXIE HWY STE 210, LOUISVILLE, KY 40216-4176
(502) 876-3744
Mailing address
4923 BROADMOOR BLVD, LOUISVILLE, KY 40218-3305
(502) 876-3744
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
359788
KY
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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