Larry Thomas Hickerson JR., NP-C
NPI #1376134767 in Whitesburg, Kentucky
Provider Information
- NPI Number
- 1376134767
- Entity Type
- Individual
- Name
- Larry Thomas Hickerson JR., NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Jan 29, 2021
- Last Updated
- May 25, 2021
Practice Location
- Address
- 226 MEDICAL PLAZA LN
- City
- Whitesburg
- State
- Kentucky
- ZIP Code
- 41858-7425
- Phone
- (606) 633-4871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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