MR. Kenneth Riley Hickman, ATC
NPI #1487609129 in Rensselaer, Indiana
Provider Information
- NPI Number
- 1487609129
- Entity Type
- Individual
- Name
- MR. Kenneth Riley Hickman, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- May 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1104 EAST GRACE ST
- Address 2
- JASPER COUNTY HOSPITAL
- City
- Rensselaer
- State
- Indiana
- ZIP Code
- 47978-3211
- Phone
- (219) 866-5141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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