Individual
KELLY SMITH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7007
(757) 668-8658
Mailing address
811 REDGATE AVE, NORFOLK, VA 23507-1515
(757) 668-7007
(757) 668-8658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024172600
VA
Other
Enumeration date
07/19/2011
Last updated
06/23/2023
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