Kikla, Chester

Kikla, Chester is an individual health care provider with primary practice located at 1667 N Clyde Morris Blvd Ste 2 , Daytona Beach FL 32117-5500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Kikla, Chester can be contacted via phone (386) 274-4840.

Contact Information

Primary practice address
1667 N Clyde Morris Blvd Ste 2 Daytona Beach FL 32117-5500
Fax: (386) 256-3008
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9207544 Florida

Profile Details

NPI number 1740646504
LBN Legal business name Kikla, Chester
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2016
Last updated Oct 1st, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740646504 NPPES
Florida Other JZUS2 FLORIDA BLUE

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