KENNETH CIOLLI MD NPI 1891792545

NPI Information

  • NPI: 1891792545
  • Provider Name: KENNETH CIOLLI, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • CLIA Number: 45D0975125
  • Address: 6218 NW LOOP 410
    SAN ANTONIO, TX
    ZIP 78238
  • Phone: (210) 523-1411

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineH5283TEXASYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C23856MEDICARE UPIN
287M871MEDICARE PINTEXAS

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: 11/21/2025

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