JOSEPH KICKLIGHTER (NPI# 1942846035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942846035 |
| Entity Type | Individual |
| Full Name | JOSEPH KICKLIGHTER |
| Practice Address |
Unit 2060 Apo AP 96278-2060 |
| Practice Telephone | 5057848717 |
| Mailing Telephone | 5057848717 |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2019-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 1326549 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 171000000X | Military Health Care Provider | 1326549 | TX | Other Service Providers |
| Street Address |
UNIT 2060 |
| City | APO |
| State | AP |
| Zip Code | 96278-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427127596 | U.S. Naval Hospital Okinawa | Pharmacy | Unit 2060, Bldg 777 Rm Uf 04, Apo, AP 96278-2060 | 2006-11-06 |
| 1215436266 | Mallory Maray Woodard | Occupational Therapist | Unit 2060, Apo, AP 96278-2060 | 2018-02-06 |
| 1003260746 | Katrina Baumann | Physical Therapist | Unit 2060, Apo, AP 96278 | 2016-04-19 |
| 1235418104 | Enmaria Chacon | Nurse Practitioner | Unit 2060, Apo, AP 96278-2060 | 2011-08-10 |
| 1649409111 | Daniel L Thetford | Military Health Care Provider | Unit 2060, Apo, AP 96278-2060 | 2009-07-06 |
| 1144402264 | Jimmy Dee Stanley | Physician Assistant | Unit 2060, Apo, AP 96278-2060 | 2007-11-30 |
| 1588869739 | Marissa Rose Pena | Social Worker | Unit 2060, Apo, AP 96278-2060 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316310832 | Elissa Nicole Beebe | Physician Assistant | Paf 51 Medical Operations Sq Ffm 130, Osan Ab, KOREA 96278 | 2015-11-05 |
| 1902287972 | Anna Schaar Friend | Family Medicine | 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 | 2015-06-15 |
| 1497012488 | Kevin M Phelan | Surgery | 51 Mdg, Unit 2060, Apo, AP 96278 | 2012-04-16 |
| 1922214782 | 121st Csh/baach | Clinic/Center | Unit 15494, Apo, AP 96278 | 2007-05-15 |
| 1548475619 | 121st Csh/baach | Clinic/Center | Unit 2097, Camp Walker, Apo, AP 96278 | 2007-05-11 |
| 1912028424 | Danny Eric Ervin | Social Worker | 51 Mdg Mdos, Unit 2060, Apo, AP 96278 | 2007-04-02 |
| 1477608321 | Carl Neighbors | Counselor | 51 Mdg Sgohf, Unit 2060, Apo, AP 96278 | 2007-01-23 |
| 1619043775 | Wonil William Chong | Dentist | 51st Medical Group/sghq, Unit 2060, Apo, AP 96278 | 2006-11-28 |
| 1134180185 | 51 Medical Group | Military Hospital | Resource Managment, Unit 2060, Apo, AP 96278 | 2006-03-29 |
| 1053390187 | Robert Lee Chaplin Jr. | Nurse Anesthetist, Certified Registered | 51 Mdos/sgosa, Bldg 777 Unit #2060, Apo, AP 96278 | 2006-01-17 |
| Find all providers in zip 96278 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700253 | Udaya Dahal | Military Health Care Provider | Grafenwoehr, De Tower Barracks, Usag-b, Apo, AE 09114 | 2020-05-06 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1538795679 | Tanner Sean Harvey | Military Health Care Provider | 1mrb Bas, Apo, AA 92010 | 2020-03-20 |
| 1124686472 | Oscar Christian | Military Health Care Provider | Hospital: Wh3s9a 549 Hc/baach, Unit 15245, Apo, AP 96271 | 2019-06-02 |
| 1932687340 | Jennifer Marie Sisson | Military Health Care Provider | 4-2 Arb, Apo, AP 96271 | 2018-07-30 |
| 1962921049 | Heidi Grondahl | Military Health Care Provider | Building 2, Del Din Clinic, Apo, AE 09606 | 2017-09-11 |
| 1922546654 | Alexandria Fraleigh Jaksha | Military Health Care Provider | Blg 8740 Unit 23809, Cmr 405, Bx 52, Apo, AE 09034 | 2017-02-01 |
| 1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
| 1306226121 | Clinton Rebello | Military Health Care Provider | Mcguire Afb, Apo, AA 08610 | 2015-06-06 |
| 1255661005 | Thomas J Drummond | Military Health Care Provider | Hhc 3-4 Inf, Cmr 405 Box #5427, Apo, AE 09034 | 2009-12-29 |
| Find all providers in APO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.