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NPI Code Detail

MEDICARE: DR. KRISTIN LYNN HICKS MD

MEDICARE: DR. KRISTIN LYNN HICKS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME113937FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003014549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN LYNN HICKS MD
Provider Business Mailing Address
First Line : 1645 PALM BEACH LAKES BLVD STE 1200
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2214
Country : US
Telephone Number : 772-349-9304
Fax Number : 561-768-4031
Provider Business Practice Location Address
First Line : 1645 PALM BEACH LAKES BLVD STE 1200
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2214
Country : US
Telephone Number : 772-349-9304
Fax Number : 561-768-4031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 07/08/2025

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