Individual
CARRI LEONE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-9571
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3006640
KY
367500000X
Certified Registered Nurse Anesthetist
49526
KY
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.019780
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100135640
—
KY
Enumeration date
09/13/2010
Last updated
03/14/2023
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