Individual
MRS. AMANDA LEA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 HEALTH CENTER ROAD, KYLE, SD 57752
(605) 455-8203
(605) 455-2808
Mailing address
3934 PARK DR, RAPID CITY, SD 57702-0551
(605) 455-8203
(605) 455-2808
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R047377
SD
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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