Individual
KATHLEEN ANN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6290 JUPITER AVE NE, BELMONT, MI 49306-8884
(616) 301-2500
(616) 301-2501
Mailing address
6290 JUPITER AVE NE, BELMONT, MI 49306-8884
(616) 301-2500
(616) 301-2501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704237503
MI
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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