Individual
DR. KEVIN O. HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 237-4004
(434) 237-4450
Mailing address
113 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 237-4004
(434) 237-4450
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101234478
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7248181
—
VA
05
—
7248199
—
VA
Enumeration date
07/18/2006
Last updated
11/26/2025
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