Individual
KEVIN KIKUGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, MS
Contact information
Practice address
2255 CAMPUS DR, EVANSTON, IL 60208-0001
(847) 491-3871
Mailing address
2255 CAMPUS DR, EVANSTON, IL 60208-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004669
IL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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