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

Mrs. Kendal Nicole Hickoff, NP

Individual provider Family Nurse Practitioner · NPI 1699455576

Mrs. Kendal Nicole Hickoff, NP is a Nurse Practitioner in South Lyon, Michigan. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

10625 Swallowtail Ct
South Lyon, MI 48178-9543
Phone: (810) 410-8265
Show map & directions

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

Additional practice locations (1)

  • 2469 W Hill Rd, Flint, MI 48507-3883 — (810) 407-6039

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F02230582 (MI)

Record details

NPI number1699455576
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 24, 2023
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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