NPI 1447261656

Glenn Hicks, CSFA

Practitioner Surgical Assistant New Albany, IN

Practice location

Address: 2125 State St STE 6, New Albany, IN 47150-4972
Phone: (812) 949-5790
Mailing address: 5200 Commerce Crossings Dr Fl 3, Louisville, KY 40229-2182

Registered specialties (2)

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 157916 (IN)

Other Specialist/Technologist, Other providers in Indiana →

Surgical Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 95136 (IN)

Registry record

NPI: 1447261656
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2006
Record last updated: 31 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.