Individual
KENTARO KIKUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5729 ESPLANADE DR, CORPUS CHRISTI, TX 78414-4138
(361) 991-3800
(361) 991-6510
Mailing address
PO BOX 6957, CORPUS CHRISTI, TX 78466-6957
(361) 991-3800
(361) 991-6510
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6896TG
TX
Other
Enumeration date
08/04/2006
Last updated
10/11/2011
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