Individual
DR. KENT ANDREW HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4417 NEWLANDS ST, METAIRIE, LA 70006-4135
(504) 888-1615
Mailing address
4417 NEWLANDS ST, METAIRIE, LA 70006-4135
(504) 888-1615
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
020242
LA
Other
Enumeration date
08/23/2009
Last updated
08/23/2009
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