Organization
KIKIS
Active
Other names
KIKIS
Organization subpart
No
Provider details
NPI number
Authorized official
TIKILIA WALKER (EMPLOYEE)
(662) 645-9349
Entity
Organization
Contact information
Practice address
1504 S EDWARDS AVE, CLARKSDALE, MS 38614-5414
(662) 645-9349
Mailing address
1504 S EDWARDS AVE, CLARKSDALE, MS 38614-5414
(662) 645-9349
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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