Individual provider · Type 1 NPI

Katherine Hicks, PA-C

Surgical Physician Assistant · Temple Terrace, FL

NPI number 1225791031 Active

Practice location

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305

Call (813) 978-9700 Map

Fax (813) 558-6185

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9115110 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1225791031

Katherine Hicks, PA-C's National Provider Identifier is 1225791031, issued on Oct 19, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Temple Terrace, FL. The record was last updated on Mar 26, 2025.