Individual
DALE GREGORY KIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 PASEO CAMARILLO, CAMARILLO, CA 93010
(805) 484-8558
(805) 484-3099
Mailing address
P.O. BOX 5457, SAN LUIS OBISPO, CA 93403
(805) 484-8558
(805) 484-3099
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A43889
CA
208VP0014X
Interventional Pain Medicine Physician
A43889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP768
PTAN
CA
Enumeration date
01/05/2006
Last updated
04/27/2017
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