Individual provider · Type 1 NPI

Paul Henry Lardizabal Kiley, R.N.

Registered Nurse · Fort Irwin, CA

NPI number 1174532196 Active

Practice location

4th & Interloop Rd, Weed Army Community Hospital
Fort Irwin, CA 92310-5109

Mailing address

16950 Jasmine St Apt 134
Victorville, CA 92395-5711

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X1-107938 (AL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174532196

Paul Henry Lardizabal Kiley, R.N.'s National Provider Identifier is 1174532196, issued on Aug 7, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Irwin, CA. The record was last updated on Jul 8, 2007.