WAYNE KILTHAU NPI 1235593690

NPI Information

NPI: 1235593690
Provider Name: WAYNE KILTHAU
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
5301 GERINE BLOSSOM DR
SAN JOSE, CA
ZIP 95123
Phone: (408) 799-1981
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Wayne Kilthau is an intellectual and developmental disabilities in San Jose, CA. Wayne Kilthau NPI is 1235593690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5301 GERINE BLOSSOM DR
SAN JOSE, CA
ZIP 95123-118
Phone: (408) 799-1981

The enumeration date for this NPI number is 4/11/2016 and was last updated on 4/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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