Search › Wisconsin › 172A00000X
Kevin Hickman
NPI 1639843808 · on the registry since 2021
Practice
- Address
- 5163 N 57th St
Milwaukee, WI 53218 - Phone
- (813) 397-7032
- Organisation at this address
- Kdh Ventures & Consulting,Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-02
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 Wisconsin