SearchMichigan374U00000X

Cavine Hicks

NPI 1821502089 · on the registry since 2017

Practice

Address
12026 W Outer Dr
Detroit, MI 48223
Phone
(313) 532-1312
Organisation at this address
K, D & B Adult Foster Care Home, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-11-27

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 Michigan