Individual provider · Type 1 NPI

Paige Jennifer Hickson, PA-C

Medical Physician Assistant · Portage, MI

NPI number 1568425973 Active

Practice location

6100 Newport Road, Suite 100, Kalamazoo Dermatology, P.c.
Portage, MI 49002-9235

Call (269) 343-4679 Map

Fax (269) 343-5929

Mailing address

6100 Newport Rd Ste 100
Portage, MI 49002-9235

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601004610 (MI)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1568425973

Paige Jennifer Hickson, PA-C's National Provider Identifier is 1568425973, issued on Apr 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portage, MI. The record was last updated on Jul 10, 2017.