Kikuchi, Kenneth
Kikuchi, Kenneth is an sole proprietor health care provider with primary practice located at 111 S Washington Ave Ste 202 , Park Ridge IL 60068-4293. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kikuchi, Kenneth can be contacted via phone (872) 228-5326.Contact Information
Primary practice address
111 S Washington Ave Ste 202
Park Ridge IL 60068-4293
Phone: (872) 228-5326
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071009712 | Illinois |
Profile Details
| NPI number | 1831673862 |
|---|---|
| LBN Legal business name | Kikuchi, Kenneth |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2018 |
| Last updated | Feb 5th, 2023 - about 3 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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