Individual
MAXIMO C KIOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 OLIVER RD # L, MONROE, LA 71201-5702
(318) 361-2161
(318) 812-6055
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 998-3426
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
11562
ND
2084N0400X
Neurology Physician
Primary
15200R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1461113
—
LA
Enumeration date
05/03/2006
Last updated
02/21/2020
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