Provider Demographics
NPI:1598058497
Name:KIOK, RICHARD T (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:T
Last Name:KIOK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 SAINT FRANCIS AVE STE 100
Mailing Address - Street 2:MAIL ROUTE 73046
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-3384
Mailing Address - Country:US
Mailing Address - Phone:952-428-3645
Mailing Address - Fax:952-428-3599
Practice Address - Street 1:1601 SAINT FRANCIS AVE STE 100
Practice Address - Street 2:MAIL ROUTE 73046
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3384
Practice Address - Country:US
Practice Address - Phone:952-428-3645
Practice Address - Fax:952-428-3599
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2014-08-19
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Provider Licenses
StateLicense IDTaxonomies
PAMT199488207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine