Individual
MRS. KENDAL NICOLE HICKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10625 SWALLOWTAIL CT, SOUTH LYON, MI 48178-9543
(810) 410-8265
Mailing address
10625 SWALLOWTAIL CT, SOUTH LYON, MI 48178-9543
(810) 410-8265
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02230582
MI
Other
Enumeration date
07/24/2023
Last updated
01/28/2026
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