Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 35095366 | OH |
N | 207VX0000X | Obstetrician | 35095366 | OH |
NPI | 1417161563 |
---|---|
Provider Name | Dr. Danielle S. Kiko |
First Address | North Canton, OH 44720-7265 |
Second Address | North Canton, OH 44720-7265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 30/09/2019 |