Individual
MRS. KELLY ELISABETH HICKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9898 BORROR RD, ORIENT, OH 43146-9508
(614) 877-9070
Mailing address
9898 BORROR RD, ORIENT, OH 43146-9508
(614) 877-9070
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN-276609
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114778
—
OH
Enumeration date
06/09/2006
Last updated
07/09/2007
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