Provider Demographics
NPI:1134221260
Name:KIK, AARON N (DC PC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:N
Last Name:KIK
Suffix:
Gender:M
Credentials:DC PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7646 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:JENISON
Mailing Address - State:MI
Mailing Address - Zip Code:49428
Mailing Address - Country:US
Mailing Address - Phone:616-457-9900
Mailing Address - Fax:616-457-9910
Practice Address - Street 1:7646 20TH AVE
Practice Address - Street 2:
Practice Address - City:JENISON
Practice Address - State:MI
Practice Address - Zip Code:49428
Practice Address - Country:US
Practice Address - Phone:616-457-9900
Practice Address - Fax:616-457-9910
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006181111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
950G01161OtherBCBSM
U49427Medicare UPIN
950G01161OtherBCBSM