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Kyle Joseph Goleno, PA-C
Surgical Physician Assistant in Vallejo, California
NPI 1083667851

Kyle Joseph Goleno is a Surgical Physician Assistant based in Vallejo, CA and is specialized in Surgical. Kyle Joseph Goleno practices in Vallejo, CA and has the professional credentials of PA-C. The NPI Number for Kyle Joseph Goleno is 1083667851 and holds a License No. (California).

The current practice location address for Kyle Joseph Goleno is 2290 Sacramento St, Vallejo, CA and can be reached out via phone at 707-643-5785 and via fax at 707-643-8810.

Location: 2290 Sacramento St, Vallejo, CA, 94590-2929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083667851
Provider Name
Kyle Joseph Goleno
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2290 Sacramento St, Vallejo, CA, 94590-2929
Phone Number
707-643-5785
Fax Number
707-643-8810
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ97788Z 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2290 Sacramento St
City
Vallejo
State
California
Zip
94590-2929
Phone Number
707-643-5785
Fax Number
707-643-8810
person
Provider Business Mailing Address Details
Address
2290 Sacramento St
City
Vallejo
State
California
Zip
94590-2929
Phone Number
707-643-5785
Fax Number
707-643-8810
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA16376 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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