Kikis

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KIKIS

Practice address

1504 S Edwards Ave
Clarksdale, MS 38614-5414

Phone

(662) 645-9349

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Tikilia Walker

Title

Employee

Phone

(662) 645-9349

Specialties & licenses 1

Addresses

Other names 1

• KIKIS Doing business as

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1316619604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 S EDWARDS AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386145414",
            "telephone_number": "662-645-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 S EDWARDS AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386145414",
            "telephone_number": "662-645-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIKIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TIKILIA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "662-645-9349"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIKIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph K Shleweet DDS, PLLC
• Shequita Rena Jurden
• Kenneth W Kellough, M.D.
• Kalilah Kemp, ATC
• Consuelo Keyes, M.ED.
• Odessa L King, MSW
• Sonya Kinnard
• Emmanuel Kpabitey, M.D.
• Kroger Limited Partnership I
• Ralph Joseph Landry, DDD

• Prosthetic/Orthotic Supplier in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.