| Kimberly Hicks M D Inc | |
|
3317 Elm St Ste 102 Oakland CA 94609-3053 | |
| (510) 595-9880 | |
| (510) 595-9881 |
| Full Name | Kimberly Hicks M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3317 Elm St Ste 102, Oakland, California |
| Authorized Official Name and Position | Kimberly Hicks (CEO) |
| Authorized Official Contact | 5105178005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Hicks M D Inc 3317 Elm St Ste 102 Oakland CA 94609-3053 Ph: (510) 595-9880 | Kimberly Hicks M D Inc 3317 Elm St Ste 102 Oakland CA 94609-3053 Ph: (510) 595-9880 |
| NPI Number | 1114491743 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114491743 | NPI | - | NPPES |
| 1972661254 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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