Individual
MICHAEL KIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 5TH ST, LYNCHBURG, VA 24504-2851
(434) 947-5967
(434) 947-5971
Mailing address
1003 5TH ST, LYNCHBURG, VA 24504-2851
(434) 947-5967
(434) 947-5971
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101057217
VA
207V00000X
Obstetrics & Gynecology Physician
21079
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004041000
—
WV
Enumeration date
07/05/2005
Last updated
08/28/2007
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