Individual
KOICHI ALDEN KIKUSHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
(877) 515-2975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61391825
WA
363LF0000X
Family Nurse Practitioner
F10220870
WA
Other
Enumeration date
11/18/2022
Last updated
02/06/2023
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