Individual
KASSIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1228 COLONIAL COMMONS CT, LANCASTER, SC 29720-2215
(803) 286-9948
Mailing address
1228 COLONIAL COMMONS CT, LANCASTER, SC 29720-2215
(803) 286-9948
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
250565
SC
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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