person
Dr. Kenneth Lee Hicks JR., DC
Chiropractor in Winterville, North Carolina
NPI 1235111287

Kenneth Lee Hicks JR. is a Chiropractor based in Winterville, NC. Kenneth Lee Hicks JR. practices in Winterville, NC and has the professional credentials of DC. The NPI Number for Kenneth Lee Hicks JR. is 1235111287 and holds a License No. 2728 (North Carolina).

The current practice location address for Kenneth Lee Hicks JR. is 610 Old Tar Village Rd Ste E, Winterville, NC and can be reached out via phone at 252-215-0990 and via fax at 252-215-0922. You can also correspond with Kenneth Lee Hicks JR. through the mailing address at 610 OLD TAR VILLAGE RD STE E, WINTERVILLE, NC - 28590-7936 (mailing address contact number: 252-215-0990).

Location: 610 Old Tar Village Rd Ste E, Winterville, NC, 28590-7936
person
Provider Profile Details
NPI Number
1235111287
Provider Name
Kenneth Lee Hicks JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
610 Old Tar Village Rd Ste E, Winterville, NC, 28590-7936
Phone Number
252-215-0990
Fax Number
252-215-0922
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890839U 05 NC
institution
Provider Business Practice Location Address Details
Address
610 Old Tar Village Rd Ste E
City
State
Zip
28590-7936
Phone Number
252-215-0990
Fax Number
252-215-0922
person
Provider Business Mailing Address Details
Address
610 Old Tar Village Rd Ste E
City
State
Zip
28590-7936
Phone Number
252-215-0990
Fax Number
252-215-0922
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
2728 (North Carolina)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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