Goleno, Kyle Joseph

Goleno, Kyle Joseph is an individual health care provider with primary practice located at 2290 Sacramento St , Vallejo CA 94590-2929. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Goleno, Kyle Joseph can be contacted via phone (707) 643-5785.

Contact Information

Primary practice address
2290 Sacramento St Vallejo CA 94590-2929
Phone: (707) 643-5785
Fax: (707) 643-8810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA16376 California

Profile Details

NPI number 1083667851
LBN Legal business name Goleno, Kyle Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 10th, 2023 - about last year

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 1083667851 NPPES
California Other ZZZ97788Z MEDICARE PTAN

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