National Provider Identifier Database

KIMBERLY G HICKS, MD – NPI #1467480327
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

KIMBERLY G HICKS, MD
460 MEDICAL PARK DR
SUITE 108
LENOIR CITY, TN37772-5782
Phone: 865-271-9536
Fax: 865-986-0212
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Pediatric Emergency Medicine 2080P0204X

* Indicates primary specialty

NPI Profile & details for KIMBERLY G HICKS

NPI Number 1467480327
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 12/03/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • TN License #: MD34033
  • KY Medicaid: 64054729
  • TN Medicaid: 1516025
  • TN Medicaid: 3496552
  • TN Other: 4034474 BLUE CROSS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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