Provider Demographics
NPI:1083160618
Name:KIKER, SYDNEY (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:KIKER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9020 STONY POINT PKWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1947
Mailing Address - Country:US
Mailing Address - Phone:804-282-5236
Mailing Address - Fax:804-282-5547
Practice Address - Street 1:9020 STONY POINT PKWY
Practice Address - Street 2:SUITE 240
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1947
Practice Address - Country:US
Practice Address - Phone:804-282-5236
Practice Address - Fax:804-282-5547
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201908187NP-PP363LP0808X
VA0024173877363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health