Kevin Hicks

NPI #1811530793 in Petersburg, Virginia

Provider Information

NPI Number: 1811530793
Entity Type: Individual
Name: Kevin Hicks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Oct 23, 2019
Last Updated: Oct 23, 2019

Practice Location

Address: 122 N PLAINS DR
City: Petersburg
State: Virginia
ZIP Code: 23805-9110
Phone: (804) 647-3283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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