Individual
HOLLY HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16172 HIGHWAY 9, BRECKENRIDGE, CO 80424-8959
(731) 695-0669
Mailing address
16172 HIGHWAY 9, BRECKENRIDGE, CO 80424-8959
(970) 423-8840
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DR.0062192
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2015
Last updated
08/29/2022
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