Kiraly, Richard A

Kiraly, Richard A is an individual health care provider with primary practice located at 701 Grove Ave , Wild Rose WI 54984-6901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Kiraly, Richard A can be contacted via phone (920) 622-6017.

Contact Information

Primary practice address
701 Grove Ave Wild Rose WI 54984-6901
Phone: (920) 622-6017
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4965 Wisconsin

Profile Details

NPI number 1063761013
LBN Legal business name Kiraly, Richard A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2012
Last updated Apr 29th, 2014 - about 12 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 1063761013 NPPES
Wisconsin MEDICAID 363L00000X

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