DR. KENNETH LEE HICKS JR. D.C.
NPI 1235111287
Chiropractor in Winterville, NC

Active since November 16, 2005
610 OLD TAR VILLAGE RD STE E, WINTERVILLE, NC 28590(252) 215-0990(252) 215-0922 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Lee Hicks Jr. D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH LEE HICKS JR. D.C. (NPI 1235111287) is an individual chiropractor in Winterville, North Carolina, licensed in North Carolina (2728) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1235111287
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENNETH LEE HICKS JR.Credential: D.C.
Location Address610 OLD TAR VILLAGE RD STE EWinterville, NC 28590-7936
Mailing Address610 Old Tar Village Rd Ste EWinterville, NC 28590-7936 · (252) 215-0990 · Fax (252) 215-0922
Fax(252) 215-0922
Sole ProprietorYes
Enumeration DateNovember 16, 2005
Last NPPES UpdateJanuary 23, 2008
NPI 1235111287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NC · 2728
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
610 OLD TAR VILLAGE RD STE E, Winterville, NC 28590

Other Identifiers 2

Medicaid890839UNC
Medicare UPIN1235111287NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
610 OLD TAR VILLAGE RD STE E
WINTERVILLE, NC 28590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Hicks's NPI number?

The NPI number for Kenneth Hicks is 1235111287. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Kenneth Hicks located?

Kenneth Hicks practices at 610 Old Tar Village Rd Ste E, Winterville, NC 28590. The listed phone number is (252) 215-0990.

What is Kenneth Hicks's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Hicks was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.