Kiker, Dale Gregory
Kiker, Dale Gregory is an individual health care provider with primary practice located at 1100 Paseo Camarillo , Camarillo CA 93010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kiker, Dale Gregory can be contacted via phone (805) 484-8558.Contact Information
Primary practice address
1100 Paseo Camarillo
Camarillo CA 93010
Phone: (805) 484-8558
Fax: (805) 484-3099
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A43889 | California |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | A43889 | California |
Profile Details
NPI number | 1063490464 |
---|---|
LBN Legal business name | Kiker, Dale Gregory |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2006 |
Last updated | Apr 27th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063490464 | NPPES |
California | Other | AP768 | PTAN |
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