Individual
AMANI MACHEL SUTTON KICKLIGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS, BC-ADM
Contact information
Practice address
250 JOSEPHS DR, YORKTOWN, VA 23693-3405
(757) 272-0340
Mailing address
3424 MIDHURST DR, CHESTER, VA 23831-1462
(704) 995-7789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220602
VA
183500000X
Pharmacist
29791
NC
Other
Enumeration date
08/06/2020
Last updated
04/17/2025
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