Whalio Doctors

NPI 1154406718

George S Kienle, DO

Practitioner Family Medicine Physician San Luis Obispo, CA

Practice location

Address
1555 Higuera St, San Luis Obispo, CA 93401-2917
Phone
(805) 543-4043
Fax
(805) 543-4427

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 20A8454 (CA)

Registry record

NPI
1154406718
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Oct 2006
Record last updated
13 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.