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Individual
DR. LUKE KICKLIGHTER
Active
Individual
DR. LUKE KICKLIGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116035128
VA
207RH0003X
Hematology & Oncology Physician
Primary
80093
MN
208000000X
Pediatrics Physician
0116035128
VA
Other
Enumeration date
04/22/2021
Last updated
06/20/2025
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