Individual
MRS. KERRIE JEAN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 SAINT JOSEPH LN, LONDON, KY 40741-8345
(606) 330-6000
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1686
TN
363A00000X
Physician Assistant
Primary
PA1337
KY
Other
Enumeration date
01/21/2009
Last updated
06/09/2023
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