Kicklighter, Stephen Downer

Kicklighter, Stephen Downer is an individual health care provider with primary practice located at 3000 New Bern Ave Neonatology Dept., Raleigh NC 27610-1231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Kicklighter, Stephen Downer can be contacted via phone (919) 350-8545.

Contact Information

Primary practice address
3000 New Bern Ave Neonatology Dept. Raleigh NC 27610-1231
Phone: (919) 350-8545
Fax: (919) 350-8146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0099-00899 North Carolina

Profile Details

NPI number 1063421345
LBN Legal business name Kicklighter, Stephen Downer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 3rd, 2021 - about 3 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 1063421345 NPPES
North Carolina MEDICAID 891209Y

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