Kikuchi, Itoko

Kikuchi, Itoko is an sole proprietor health care provider with primary practice located at 415 Neponset Ave Fl 3, Dorchester MA 02122. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kikuchi, Itoko can be contacted via phone (857) 217-3700.

Contact Information

Primary practice address
415 Neponset Ave Fl 3 Dorchester MA 02122
Phone: (857) 217-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2292722 Massachusetts

Profile Details

NPI number 1235374414
LBN Legal business name Kikuchi, Itoko
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2008
Last updated Dec 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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