NPI 1811530793

Kevin Hicks

Practitioner Private Vehicle Petersburg, VA

Practice location

Address: 122 N Plains Dr, Petersburg, VA 23805-9110
Phone: (804) 647-3283

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence T65434407 (VA)

Other Private Vehicle providers in Virginia →

Registry record

NPI: 1811530793
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2019
Record last updated: 23 Oct 2019

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.