Cianciolo, Kirk Dominic

Cianciolo, Kirk Dominic is an individual health care provider with primary practice located at 12464 Indian Rocks Rd , Largo FL 33774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cianciolo, Kirk Dominic can be contacted via phone (727) 596-5446.

Contact Information

Primary practice address
12464 Indian Rocks Rd Largo FL 33774
Fax: (727) 593-0002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 03552 Kentucky
Allopathic & Osteopathic Physicians / Urology 208800000X OS0004645 Florida

Profile Details

NPI number 1780933127
LBN Legal business name Cianciolo, Kirk Dominic
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Nov 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780933127 NPPES
Florida Other 3972115 CIGNA
Florida Other 211521 CIGNA
Florida MEDICAID 017137800 CIGNA
Florida Other JTNOA CIGNA

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