SearchIndiana390200000X

Kobe Hicks

NPI 1447112313 · on the registry since 2025

Practice

Address
3008 Parnell Ave
Fort Wayne, IN 46805
Phone
(770) 500-6068

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana