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Philip Michael Kikuchi

Student in an Organized Health Care Education/Training Program

Student, Health Care

1555 Long Pond Rd, Rochester, NY 14626-4164

PECOS Enrollment

This provider is enrolled in PECOS as PHILIP KIKUCHI.

Based on the most recent information from CMS, provider Philip Michael Kikuchi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1427345800
Provider Type
Individual
Full Name
Kikuchi, Philip Michael
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/6/2011
Last Updated
12/21/2021

Contact Information

Practice Location

1555 Long Pond Rd, Rochester, NY 14626-4164

(585) 723-7769

(585) 723-7834

Mailing Location

1555 Long Pond Rd, Rochester, NY 14626-4164

(585) 723-7769

(585) 723-7834

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Philip Michael Kikuchi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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