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Kevin Hicks, OD
NPI 1821060419 · on the registry since 2006
Practice
- Address
- 131 Eureka Towne Center Dr
Eureka, MO 63025 - Phone
- (636) 587-9775
- Fax
- (636) 587-9796
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-27
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