Kenzie Kitcharoen, MD
Psychiatry & Neurology, Psychiatry in Maplewood, New Jersey
1356533269- Practice location
- 515 Valley St Ste 203, Maplewood, NJ 07040-4300
- Phone
- 908-663-2929
- Fax
- 908-219-6213
- Last updated
- August 18, 2025
Kenzie Kitcharoen is a Psychiatry & Neurology, Psychiatry based in Maplewood, NJ. Kenzie Kitcharoen practices in Maplewood, NJ and has the professional credentials of MD. The NPI Number for Kenzie Kitcharoen is 1356533269 and holds a License No. 036124514 (IL). The current practice location address for Kenzie Kitcharoen is 515 Valley St Ste 203, Maplewood, NJ 07040-4300 and can be reached out via phone at 908-663-2929 and via fax at 908-219-6213.
Provider Profile Details
- NPI Number
- 1356533269
- Provider Name
- Kenzie Kitcharoen
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 515 Valley St Ste 203, Maplewood, NJ 07040-4300
- Phone Number
- 908-663-2929
- Fax Number
- 908-219-6213
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 14, 2007
- Last Update Date
- August 18, 2025
- Certification Date
- August 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 515 Valley St Ste 203
Maplewood, NJ 07040-4300 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-4300
- Phone Number
- 908-663-2929
- Fax Number
- 908-219-6213
Provider Business Mailing Address Details
- Address
- 899 Skokie Blvd Spc 333
Northbrook, IL 60062-4023 - City
- Northbrook
- State
- IL
- Zip
- 60062-4023
- Phone Number
- 847-834-1428
- Fax Number
- 855-265-2722
License Information
- License Number
- 036124514
- License State
- IL
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kenzie Kitcharoen, MD?
The NPI number of Kenzie Kitcharoen, MD is 1356533269. It was assigned on August 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Kenzie Kitcharoen, MD?
Kenzie Kitcharoen, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in IL under license number 036124514.
Where does Kenzie Kitcharoen, MD practice?
The practice location is 515 Valley St Ste 203, Maplewood, NJ 07040-4300. The office can be reached at 908-663-2929 (phone) or 908-219-6213 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356533269 directly on the NPPES registry website.