Kikuchi, Julie S
Kikuchi, Julie S is an sole proprietor health care provider with primary practice located at 121 E Fort St , Boise ID 83712-6322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kikuchi, Julie S can be contacted via phone (208) 514-2525.Contact Information
Primary practice address
121 E Fort St
Boise ID 83712-6322
Phone: (208) 514-2525
Fax: (208) 375-2217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | M9466 | Idaho |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M-9466 | Idaho |
Profile Details
| NPI number | 1265544894 |
|---|---|
| LBN Legal business name | Kikuchi, Julie S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265544894 | NPPES |
| Idaho | MEDICAID | 807362700 |
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