Hicks, Kenneth Van
Hicks, Kenneth Van is an sole proprietor health care provider with primary practice located at 4101 S Medford Dr , Lufkin TX 75901-5633. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hicks, Kenneth Van can be contacted via phone (936) 633-5676.Contact Information
Primary practice address
4101 S Medford Dr
Lufkin TX 75901-5633
Phone: (936) 633-5676
Fax: (936) 633-5695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18196 | Texas |
Profile Details
| NPI number | 1659698322 |
|---|---|
| LBN Legal business name | Hicks, Kenneth Van |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2010 |
| Last updated | Apr 21st, 2010 - about 15 years ago |
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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