Kennedy Kyalo Kioko

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

95330993 Issued in CA

Practice address

9183 Seville LN
Atascadero, CA 93422-8871

Phone

(707) 596-2578

NPI assigned

Jul 12, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1417529280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 RIVERA LN APT C",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934226826",
            "telephone_number": "707-596-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9183 SEVILLE LN",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934228871",
            "telephone_number": "707-596-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIOKO",
        "first_name": "KENNEDY",
        "middle_name": "KYALO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "705786",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "95330993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Killen
• Sungshim Kim-Robinson
• Kory Kindle, PT
• Jacqueline King, PSY.D.
• Makenzie Lauren Kingsley
• Lara C Kirkpatrick
• Michael Neil Kirschner, D.O.
• Patrick Kish
• Stephanie N Kleinsmith
• Kimberly Klem, PHD

• Medical-Surgical Registered Nurse in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Medical-Surgical Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.