Provider Demographics
NPI:1770183121
Name:WORKMAN, KIKEMA K
Entity Type:Individual
Prefix:
First Name:KIKEMA
Middle Name:K
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 DENISE DR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-2247
Mailing Address - Country:US
Mailing Address - Phone:330-701-0785
Mailing Address - Fax:
Practice Address - Street 1:1532 DENISE DR
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-2247
Practice Address - Country:US
Practice Address - Phone:330-701-0785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health