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Search › California › 171M00000X

Kerry Hicks, SUDCC

NPI 1841941499 · on the registry since 2022

Practice

Address
44199 Monroe St Ste B
Indio, CA 92201
Phone
(760) 863-8074
Organisation at this address
County Of Riverside
County Of Riverside
County Of Riverside
County Of Riverside
Inferred from a shared address, not stated in the registry.
Clinicians at this address
123

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YA0400X
101YA0400X
175T00000X
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-06

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 California