Doctor Name: | JEFFREY A HICKLIN |
NPI Number: | 1083729222 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 04-27554 |
Business Practice Address: | 9100 W 74th St Shawnee Mission, KS - 662044004 |
Business Phone Number: | 9136762310 |
Business Fax Number: | |
Mailing Address: | 8000 W 110th St, Ste 150 OVERLAND PARK |
State: | KS |
Postal Code: | 662102338 |
Phone Number: | 9135996777 |
Fax Number: | 9135993955 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 08/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 04-27554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |