THERESE C KICHUK MD
NPI 1205638566
Student in an Organized Health Care Education/Training Program in Princeton, NJ

Q: What is Therese Kichuk's NPI number?

The NPI number for Therese Kichuk is 1205638566. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Therese Kichuk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Therese Kichuk was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2025

72 CLEARVIEW AVE, PRINCETON, NJ 08540(602) 463-4461 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Therese C Kichuk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESE C KICHUK MD (NPI 1205638566) is an individual student in an organized health care education/training program in Princeton, New Jersey and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1205638566

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTHERESE C KICHUKCredential: MD

Location Address72 CLEARVIEW AVEPrinceton, NJ 08540-3920

Mailing Address72 Clearview AvePrinceton, NJ 08540-3920 · (602) 463-4461

Phone(602) 463-4461

Sole ProprietorNo

Enumeration DateMarch 26, 2025

NPPES CertifiedMarch 25, 2025

✔ NPI 1205638566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

72 CLEARVIEW AVE, Princeton, NJ 08540

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Therese Kichuk's NPI number?

The NPI number for Therese Kichuk is 1205638566. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Therese Kichuk located?

Therese Kichuk practices at 72 Clearview Ave, Princeton, NJ 08540. The listed phone number is (602) 463-4461.

What is Therese Kichuk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Therese Kichuk was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.