Kikis
Prosthetic/Orthotic Supplier in Clarksdale, MS. Organization (NPI-2).
NPI number1316619604
StatusActive
Last updated in NPPESOct 4, 2021
Details
- NPI
- 1316619604
- Entity type
- Organization (NPI-2)
- Legal business name
- Kikis
- Organization subpart
- No
- Enumeration date
- Oct 4, 2021
- Certification date
- Oct 4, 2021
- Last updated
- Oct 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Other names
- Kikis (Doing Business As)
Practice location
1504 S Edwards AveClarksdale, MS 38614-5414
Phone 662-645-9349
Mailing address
1504 S Edwards AveClarksdale, MS 38614-5414
Phone 662-645-9349
Authorized official
Tikilia Walker
Employee
6626459349
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