Individual provider · Type 1 NPI

Kenzo Ichimura, MD

Student in an Organized Health Care Education/Training Program · Cincinnati,, OH

NPI number 1316707110 Active

Practice location

3188 Bellevue Ave., Ml 0781, Internal Medicine
Cincinnati,, OH 45219

Call (513) 584-4505 Map

Fax (513) 584-0468

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

58 other providers at this address

About NPI 1316707110

Kenzo Ichimura, MD's National Provider Identifier is 1316707110, issued on Mar 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cincinnati,, OH. The record was last updated on Mar 20, 2024.