| Kyle Chikazawa Llc | |
|
99-080 Kauhale St Ste C20 Aiea HI 96701-4114 | |
| (808) 284-3903 | |
| Not Available |
| Full Name | Kyle Chikazawa Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 99-080 Kauhale St Ste C20, Aiea, Hawaii |
| Authorized Official Name and Position | Kyle Chikazawa (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 8082843903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Chikazawa Llc 99-080 Kauhale St Ste C20 Aiea HI 96701-4114 Ph: () - | Kyle Chikazawa Llc 99-080 Kauhale St Ste C20 Aiea HI 96701-4114 Ph: (808) 284-3903 |
| NPI Number | 1538816178 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Medicare PECOS PAC ID | 0244608768 |
|---|---|
| Medicare Enrollment ID | O20221115000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538816178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kyle Chikazawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467121566 PECOS PAC ID: 1951799436 Enrollment ID: I20211103000108 |
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