Individual
KYLE THOMAS HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
938 W 3RD AVE, MOSES LAKE, WA 98837-2011
(509) 350-4785
Mailing address
938 W 3RD AVE, MOSES LAKE, WA 98837-2011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61647942
WA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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