Provider Demographics
NPI:1184140378
Name:KIKER, AMI (RN)
Entity type:Individual
Prefix:
First Name:AMI
Middle Name:
Last Name:KIKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20225 BOTHELL EVERETT HWY APT 422
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-8180
Mailing Address - Country:US
Mailing Address - Phone:206-712-5179
Mailing Address - Fax:
Practice Address - Street 1:20225 BOTHELL EVERETT HWY APT 422
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-8180
Practice Address - Country:US
Practice Address - Phone:206-712-5179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60584021163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse