Individual
DR. KEVIN W. HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
131 EUREKA TOWNE CENTER DR, EUREKA, MO 63025-1031
(636) 587-9775
(636) 587-9796
Mailing address
131 EUREKA TOWNE CENTER DR, EUREKA, MO 63025-1031
(636) 587-9775
(636) 587-9796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02874
MO
Other
Enumeration date
02/07/2006
Last updated
06/27/2008
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