KAONI HICKS

NPI: 1356963797 · Individual · Active

Primary Specialty

Home Health Agency
Home Health

Practice Location

10340 AVELAR RIDGE DR
RIVERVIEW, FL 33578-7563 Map ↗
Phone: 321-431-6005

Mailing Address

PO BOX 961
RIVERVIEW, FL 33568-0961 Map ↗
Phone: 863-393-3180

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Home Health Agency Primary

NPI Registration

Enumerated: 2020-05-08

Last CMS Update: 2020-05-08