Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn Hicks, CSFA

Individual provider Surgical Assistant · NPI 1447261656

Glenn Hicks, CSFA is a Surgical Assistant in New Albany, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2125 State St Ste 6
New Albany, IN 47150-4972
Phone: (812) 949-5790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8333 Naab Rd, Indianapolis, IN 46260-5924 — (317) 396-1300

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 157916 (IN)
Surgical Technologist Taxonomy 246ZS0410X · Licence 95136 (IN)

Record details

NPI number1447261656
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address5200 Commerce Crossings Dr Fl 3, Louisville, KY 40229-2182

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