Individual provider · Type 1 NPI

Kyle Douglas Hicks

Family Nurse Practitioner · Fresno, CA

NPI number 1700647542 Active

Practice location

20 E River Park Pl W
Fresno, CA 93720-1551

Mailing address

3222 Everglade Ave # A
Clovis, CA 93619-9586

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X95069170 (CA)
Certified Registered Nurse Anesthetist 367500000X95069170 (CA)
Family Nurse Practitioner Primary 363LF0000X95022187 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1700647542

Kyle Douglas Hicks's National Provider Identifier is 1700647542, issued on Jan 18, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fresno, CA. The record was last updated on Jan 18, 2024.