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General NPI Number Information
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NPI Number | 1851962567
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Entity Type | Organization
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Legal Business Name | KRISTIN L HICKS MD PA
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Dates
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Enumeration Date | 07/03/2021
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 1645 PALM BEACH LAKES BLVD STE 1200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2214
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Country | US
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Telephone | 772-349-9304
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Fax | 561-768-4031
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Provider Business Mailing Address
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Address Line | 1645 PALM BEACH LAKES BLVD STE 1200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2214
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Country | US
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Telephone | 772-349-9304
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRISTIN HICKS
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Credential | MD
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Telephone | 772-224-4052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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