Keith Hickman
Keith Hickman is a Student in an Organized Health Care Education/Training Program in Parkersburg, West Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in West Virginia.
- Licensed in
- WV
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
3705 Emerson AveParkersburg, WV 26104-1118
Phone: (304) 485-7717
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 30 Acme St, Marietta, OH 45750-3306 — (740) 885-3166
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 4477 (WV) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1790246734 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2019 |
| Last updated in NPPES | August 15, 2023 |
| Certification date | August 15, 2023 |
| Mailing address | 474 Valley Manor Ln, Williamstown, WV 26187-8249 |
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