Individual
KELLI M HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
75-5591 PALANI RD, SUITE 207, KAILUA KONA, HI 96740-3631
(808) 327-9845
(808) 329-9038
Mailing address
75-5591 PALANI RD, SUITE 207, KAILUA KONA, HI 96740-3631
(808) 327-9845
(808) 329-9038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11115
HI
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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