IndividualActive
Derek Hicks
NPI 1720400757 · Case Manager/Care Coordinator · Monticello, KY
Provider details
- NPI number
- 1720400757
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
130 Southern School Rd
Somerset, KY 42501-3223
Registry dates
- Enumerated
- 2014-01-10
- Last updated
- 2014-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.