Provider Demographics
NPI:1891319174
Name:KIRKIKIS, CONNER CHRISTIAN (DO)
Entity Type:Individual
Prefix:DR
First Name:CONNER
Middle Name:CHRISTIAN
Last Name:KIRKIKIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8117 PRESTON RD STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6328
Mailing Address - Country:US
Mailing Address - Phone:972-415-4968
Mailing Address - Fax:469-405-6558
Practice Address - Street 1:8117 PRESTON RD STE 800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6328
Practice Address - Country:US
Practice Address - Phone:972-415-4968
Practice Address - Fax:469-405-6558
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA338259207R00000X
VA0116034433207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine