Julie S Kikuchi
Pediatrician Adolescent Medicine
121 E Fort St
Boise
, Idaho 83712-6322
Julie S Kikuchi
Pediatrician Adolescent Medicine
121 E Fort St
Boise
, Idaho 83712-6322
(208) 367-6123
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Julie S Kikuchi
- 777 N Raymond St
- Boise, ID
- Zip : 83704-9251
- Fax : (208) 367-6123
- Phone : (208) 367-6030
Second Address
- Julie S Kikuchi
- 121 E Fort St
- Boise, ID
- Zip : 83712-6322
- Fax : (208) 375-2217
- Phone : (208) 514-2525
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | M-9466 | ID |
| N | 2080A0000X | Adolescent Medicine | M9466 | ID |
National Provider Identifier
| NPI | 1265544894 |
|---|---|
| Provider Name | Julie S Kikuchi |
| First Address | Boise, ID 83704-9251 |
| Second Address | Boise, ID 83712-6322 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 807362700 | (05) | ID |
| I18029 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.