Individual
DR. JOHN IWAO KIKUCHI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
677 S JACKSON ST, SEATTLE, WA 98104-2928
(206) 623-1100
(206) 624-0463
Mailing address
6125 S KEPPLER ST, SEATTLE, WA 98118-5918
(206) 850-1205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3689
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025898
—
WA
Enumeration date
09/09/2005
Last updated
07/08/2007
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