Individual provider · Type 1 NPI

Michael Kilivris

Student in an Organized Health Care Education/Training Program · San Rafael, CA

NPI number 1083409643 Active

Practice location

1330 Lincoln Ave Ste 201
San Rafael, CA 94901-2142

Call (415) 459-5999 Map

Mailing address

1143 S Eliseo Dr
Greenbrae, CA 94904-2021

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

53 other providers at this address

Other student in an organized health care education/training program providers in San Rafael

See all in San Rafael →

About NPI 1083409643

Michael Kilivris's National Provider Identifier is 1083409643, issued on Apr 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Rafael, CA. The record was last updated on Apr 14, 2025.