Individual
KELLY KIVIKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
17218 DOC LIZANA RD, GULFPORT, MS 39503-9236
(228) 297-6904
Mailing address
17218 DOC LIZANA RD, GULFPORT, MS 39503-9236
(228) 297-6904
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00020
MS
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
04/08/2026
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