Provider Demographics
NPI:1407653884
Name:NG, KIKI PUI-KI
Entity type:Individual
Prefix:
First Name:KIKI
Middle Name:PUI-KI
Last Name:NG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 476 BOX 809
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96322-0009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USS AMERICA LHA-6
Practice Address - Street 2:UNIT 100233 UNIT 727
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96660
Practice Address - Country:US
Practice Address - Phone:800-653-7389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH29755124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist