Christy S Kik

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

219972 Issued in OR

Practice address

550 River Rd
Eugene, OR 97404-3212

Phone

(541) 743-2611

Fax

(541) 868-0340

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1083969950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 SKIPPER AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043212",
            "telephone_number": "541-743-2611",
            "fax_number": "541-868-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIK",
        "first_name": "CHRISTY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "OR",
            "license": "219972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elahe Khodabandeh, DMD
• Karishma Khunger, DDS
• Meghann Kidd
• Melissa Renee Kidman
• Sunny Kierstyn, RN,DC
• Shareese Danielle Kilbane
• Kathryn Nicole Kilbourn, MS, QMHA, PSS
• Francie Edith Killian, M.S., CISSN
• Terrence Killian, M.S.W
• Dorothy Olive Kilmer, F.N.P.

• Psychiatric Residential Treatment Facility in Eugene, OR
• Providers in Eugene, OR by specialty
• Psychiatric Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.