Individual
DAWN HOLLEY KIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4711 POPLAR SPRINGS DR, MERIDIAN, MS 39305-2622
(601) 425-7777
Mailing address
9425 EASTSIDE DRIVE EXT, SUITE A, NEWTON, MS 39345-8068
(601) 635-3333
(601) 635-3330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R863932
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00925081
MEDICAID GROUP MERIDIAN
MS
01
—
04278332
MEDICAID GROUP NEWTON
MS
01
—
25-3808
MEDICARE NEWTON OFFICE
—
01
—
25-3841
MEDICARE MERIDIAN OFFICE
—
05
—
5859009
—
MS
Enumeration date
07/31/2009
Last updated
04/25/2013
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