Individual
KENZIE KITCHAROEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 VALLEY ST STE 203, MAPLEWOOD, NJ 07040-4300
(908) 663-2929
(908) 219-6213
Mailing address
899 SKOKIE BLVD SPC 333, NORTHBROOK, IL 60062-4023
(847) 834-1428
(855) 265-2722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036124514
IL
Other
Enumeration date
08/14/2007
Last updated
08/18/2025
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