Lookup NPI Numbers from the NPI Registry
NPI Profile for ITOKO KIKUCHI in DORCHESTER, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Community/Behavioral Health |
251S00000X |
| NPI # | 1235374414 |
|
| Status | Active | |
| Credentials | PMHNP-BC (Adult Psychiatric-Mental Health Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 12/02/2008 | |
| Last updated | 12/26/2018 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ITOKO KIKUCHI
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ITOKO KIKUCHI, PMHNP-BC