Individual
KAITLYN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2001 NEWBURG RD, LOUISVILLE, KY 40205-1863
(502) 272-8000
Mailing address
9405 INDIAN PIPE LN, PROSPECT, KY 40059-7000
(502) 544-1969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008927
KY
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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