Heckel Hicks, Kathleen M

Heckel Hicks, Kathleen M is an individual health care provider with primary practice located at 474 N Hwy 89 , Chino Valley AZ 86323-5993. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Heckel Hicks, Kathleen M can be contacted via phone (928) 636-5680.

Contact Information

Primary practice address
474 N Hwy 89 Chino Valley AZ 86323-5993
Fax: (928) 636-5853
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3460 Arizona

Profile Details

NPI number 1780918037
LBN Legal business name Heckel Hicks, Kathleen M
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2009
Last updated Sep 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780918037 NPPES
Arizona MEDICAID 983442

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