Individual
DR. KISITO N KIKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 E HIGHLAND DR, JONESBORO, AR 72401-5940
(870) 802-3749
Mailing address
1500 W KINGSHIGHWAY, PARAGOULD, AR 72450-4009
(870) 240-8053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-2-33562
OH
183500000X
Pharmacist
24001
NC
183500000X
Pharmacist
Primary
PD12515
AR
Other
Enumeration date
11/26/2016
Last updated
11/26/2016
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