Individual
ABIGAIL B KICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 130, HAGERSTOWN, MD 21742-6799
(301) 665-4710
Mailing address
11110 MEDICAL CAMPUS RD STE 130, HAGERSTOWN, MD 21742-6799
(301) 665-4710
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R256711
MD
363LG0600X
Gerontology Nurse Practitioner
SP013006
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102860739
—
PA
Enumeration date
06/13/2013
Last updated
11/22/2022
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