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NPI Code Detail

MEDICARE: DR. VERDA J HICKS MD

MEDICARE: DR. VERDA J 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
1207VX0201XGynecologic Oncology PhysicianR1K54MO

General Provider Information

NPI Number : 1407857881
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERDA J HICKS MD
Provider Business Mailing Address
First Line : 901 E 104TH ST
Second Line : MAILSTOP 400S
City : KANSAS CITY
State : MO
Zip : 64131
Country : US
Telephone Number : 816-932-3300
Fax Number :
Provider Business Practice Location Address
First Line : 4401 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3220
Country : US
Telephone Number : 816-932-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/19/2024

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Directions to “ DR. VERDA J HICKS MD” Practice Location

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