Individual
KEVIN JOSEPH HISCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA/RRA
Contact information
Practice address
1414 KUHL AVE, ORLANDO, FL 32806-2008
(854) 854-1774
Mailing address
1005 SALAMANCA PL, DAVENPORT, FL 33837-9712
(315) 617-2982
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RA183
FL
Other
Enumeration date
07/17/2009
Last updated
07/01/2025
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