LARRY THOMAS HICKERSON

WHITESBURG, KY
NPI1376134767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KY  3015776)
Enumeration Date2021-01-29
Last Update Date2021-05-25
Business Address
LARRY THOMAS HICKERSON NP-C
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858-7425
Phone number: 606-633-4871
Mailing Address
LARRY THOMAS HICKERSON NP-C
PO BOX 40
WHITESBURG, KY 41858-0040
Phone number: 606-633-4823
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