Cox, Kiana Lee Nicole

Cox, Kiana Lee Nicole is an individual health care provider with primary practice located at 1300 W Lodi Ave Suite P, Lodi CA 95242-3000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cox, Kiana Lee Nicole can be contacted via phone (209) 366-1990.

Contact Information

Primary practice address
1300 W Lodi Ave Suite P Lodi CA 95242-3000
Phone: (209) 366-1990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A69911 California

Profile Details

NPI number 1720044761
LBN Legal business name Cox, Kiana Lee Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated May 28th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720044761 NPPES
California MEDICAID 00A699110

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