Kevin Kiraly, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Patterson, CA
NPI 1740515535 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1740515535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95022738 (CA)
- Practice address
- 200 C St
Patterson, CA 95363-2701 - Phone
- (209) 722-4842
- NPI assigned
- Oct 12, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 693264 | CA | MD | Emergency Registered Nurse |
| 95022738 | CA | MD | Family Nurse Practitioner |
| X | FL | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | X | FL | |
| Family Nurse Practitioner | 363LF0000X | 95022738 | CA | Yes |
| Emergency Registered Nurse | 163WE0003X | 693264 | CA |
Addresses
Primary practice location
200 C St
Patterson, CA 95363-2701
Mailing address
737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 722-4842
Other providers in Patterson, CA
- Venkateswarlu Kadiveti
- Linsey Kapoor
- Margaret Kelly-McGarry
- Mojdeh Khosravan
- Anna Kiesser
- Thomas Earl Klein
- Lacey Kohl
- Landing Square LLC
- Mocha Landucci
- Mark James Lawicki
All providers in Patterson, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.