SearchMissouri253Z00000X

Judy Hicks

NPI 1629960034 · on the registry since 2025 · sole proprietor

Practice

Address
2701 Russell Blvd
Saint Louis, MO 63104
Phone
(314) 598-7636
Fax
(314) 598-7636

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Sex
Male
Record last updated
2025-11-11

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 Missouri