Individual
DR. STEPHEN DOWNER KICKLIGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, NEONATOLOGY DEPT., RALEIGH, NC 27610-1231
(919) 350-8545
(919) 350-8146
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0099-00899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891209Y
—
NC
Enumeration date
08/05/2006
Last updated
03/03/2021
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