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Individual

DR. KENNETH KIKUCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
111 S WASHINGTON AVE STE 202, PARK RIDGE, IL 60068-4293
(872) 228-5326
Mailing address
4828 FARGO AVE, SKOKIE, IL 60077-3345
(872) 228-5326

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009712
IL

Other

Enumeration date
09/14/2018
Last updated
02/05/2023
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