Individual
MS. VIRGIE HICKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
4801 LINWOOE, KANSAS CITY, MO 64128
(816) 861-4700
Mailing address
4801 LINWOOE, KANSAS CITY, MO 64128
(816) 861-4700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
074207
MO
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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