Individual
KEVIN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 CAHILL RD STE 101, BRANSON, MO 65616-2036
(417) 335-7274
Mailing address
121 CAHILL RD STE 101, BRANSON, MO 65616-2036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2004022993
MO
Other
Enumeration date
02/11/2007
Last updated
05/20/2020
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