Individual
GARY HICKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-AGNP
Contact information
Practice address
400 E RED BRIDGE RD STE 207, KANSAS CITY, MO 64131-4030
(913) 681-2398
(913) 681-2416
Mailing address
400 E RED BRIDGE RD STE 207, KANSAS CITY, MO 64131-4030
(913) 681-2398
(913) 681-2416
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2024022023
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2024022023
MO
Other
Enumeration date
06/24/2024
Last updated
07/12/2024
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