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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699615930

Katherine Grace Hickey, DO is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2190
Phone: (631) 686-2518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1699615930
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 29, 2026

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