Hicks, Kyle Douglas

Hicks, Kyle Douglas is an sole proprietor health care provider with primary practice located at 20 E River Park Pl W , Fresno CA 93720-1551. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Hicks, Kyle Douglas can be contacted via phone (559) 256-4950.

Contact Information

Primary practice address
20 E River Park Pl W Fresno CA 93720-1551
Phone: (559) 256-4950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 95069170 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95069170 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95022187 California

Profile Details

NPI number 1700647542
LBN Legal business name Hicks, Kyle Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2024
Last updated Jan 18th, 2024 - 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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