KENNETH CIOLLI MD NPI 1891792545

NPI Information

Kenneth Ciolli, MD is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kenneth Ciolli, MD NPI is 1891792545. 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:

6218 NW LOOP 410
SAN ANTONIO, TX
ZIP 78238-306
Phone: (210) 523-1411
Fax: (210) 523-9307

The CLIA number assigned to this NPI record is 45D0975125 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 5/22/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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