Organization
KENKO INTERVENTIONS
Active
Other names
Kenko Interventions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KIKUCHI PSYD (OWNER)
(872) 228-5326
Entity
Organization
Contact information
Practice address
111 S WASHINGTON AVE STE 202, PARK RIDGE, IL 60068-4293
(872) 228-5326
Mailing address
111 S WASHINGTON AVE STE 202, PARK RIDGE, IL 60068-4293
(872) 228-5326
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
03/22/2023
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