Individual
LEON P HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7 SHAPE DR, KENNEBUNK, ME 04043-6601
(207) 985-7174
(207) 985-1304
Mailing address
7 SHAPE DR, KENNEBUNK, ME 04043-6601
(207) 985-7174
(207) 985-1304
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1052
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431833399
—
ME
Enumeration date
07/03/2006
Last updated
05/20/2009
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