Mrs Kristen Hicks, RD, LD is a
Dietitian, Registered based in Blythewood, South Carolina. Mrs Kristen Hicks is licensed to practice in South Carolina (license number 317) and her current practice location is
127 Broadmoor Rd, Blythewood, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 984-4299.
NPI number for Mrs Kristen Hicks is 1770900532 and her current mailing address is 127 Broadmoor Rd, Blythewood, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770900532.
Healthcare Provider's Profile
Full Name | Mrs Kristen Hicks |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 127 Broadmoor Rd, Blythewood, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770900532
- Provider Enumeration Date: 03/18/2014
- Last Update Date: 03/18/2014
Medical Identifiers
Medical identifiers for Mrs Kristen Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770900532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 317 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristen Hicks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kristen Hicks, RD, LD 127 Broadmoor Rd, Blythewood, SC 29016-8793 Ph: (803) 984-4299 | Mrs Kristen Hicks, RD, LD 127 Broadmoor Rd, Blythewood, SC 29016-8793 Ph: (803) 984-4299 |
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