KENNETH RILEY HICKMAN

RENSSELAER, IN
NPI1487609129
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000117A)
Enumeration Date2006-05-23
Last Update Date2007-07-08
Business Address
Mr. KENNETH RILEY HICKMAN ATC
1104 EAST GRACE ST JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978-3211
Phone number: 219-866-5141
Mailing Address
Mr. KENNETH RILEY HICKMAN ATC
1104 EAST GRACE ST
RENSSELAER, IN 47978-3211
Phone number: 219-866-5141
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