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: July 19, 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


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235111287, enumerated as an "individual" on November 16, 2005.

The provider is located at 610 OLD TAR VILLAGE RD STE E WINTERVILLE, NC 28590 and the phone number is (252) 215-0990.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.