Kennedy Kyalo Kioko, is a
Licensed Vocational Nurse based in Atascadero, California. Kennedy Kyalo Kioko is licensed to practice in California (license number 705786) and his current practice location is
9315 Rivera Ln Apt C, Atascadero, California. He can be reached at his office (for appointments etc.) via phone at
(707) 596-2578.
NPI number for Kennedy Kyalo Kioko is 1417529280 and his current mailing address is 9315 Rivera Ln Apt C, Atascadero, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417529280.
Provider's Profile
| Full Name | Kennedy Kyalo Kioko |
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| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 9315 Rivera Ln Apt C, Atascadero, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417529280
- Provider Enumeration Date: 07/12/2021
- Last Update Date: 07/14/2021
Medical Identifiers
Medical identifiers for Kennedy Kyalo Kioko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417529280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 705786 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kennedy Kyalo Kioko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kennedy Kyalo Kioko,
9315 Rivera Ln Apt C,
Atascadero, CA 93422-6826
Ph: (707) 596-2578 | Kennedy Kyalo Kioko,
9315 Rivera Ln Apt C,
Atascadero, CA 93422-6826
Ph: (707) 596-2578 |
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