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Individual

DR. JEFFREY KARL KIKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3950 KEENE RD, WEST RICHLAND, WA 99353
(509) 942-3627
(509) 628-8335
Mailing address
3950 KEENE RD, WEST RICHLAND, WA 99353-4901
(509) 942-3130
(509) 628-8335

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP 60120424
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0261765
LABOR & INDUSTRIES
WA
Enumeration date
05/02/2006
Last updated
03/01/2021
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