Search › California › 122300000X
Kyle Wilburn
NPI 1326675984 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4755 Hoen Ave
Santa Rosa, CA 95405 - Phone
- (707) 542-2881
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California