person
Kevin Hicks
Private Vehicle in Petersburg, Virginia
NPI 1811530793

Kevin Hicks is a Private Vehicle based in Petersburg, VA. Kevin Hicks practices in Petersburg, VA. The NPI Number for Kevin Hicks is 1811530793 and holds a License No. T65434407 (Virginia).

The current practice location address for Kevin Hicks is 122 N Plains Dr, Petersburg, VA and can be reached out via phone at 804-647-3283.

Location: 122 N Plains Dr, Petersburg, VA, 23805-9110
person
Provider Profile Details
NPI Number
1811530793
Provider Name
Kevin Hicks
Credential
Provider Entity Type
Individual
Gender
Male
Address
122 N Plains Dr, Petersburg, VA, 23805-9110
Phone Number
804-647-3283
Fax Number
Provider Enumeration Date
10/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
122 N Plains Dr
City
State
Zip
23805-9110
Phone Number
804-647-3283
Fax Number
person
Provider Business Mailing Address Details
Address
122 N Plains Dr
City
State
Zip
23805-9110
Phone Number
804-647-3283
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
T65434407 (Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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