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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 Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIMBERLY G HICKS · (Female)

NPI Number 1467480327
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 12/03/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD34033
  • KY Medicaid 64054729
  • TN Medicaid 1516025
  • TN Medicaid 3496552
  • TN Other 4034474 BLUE CROSS
Hospital affiliation(s) Not Available
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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