Individual
RICHARD A KIRALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
701 GROVE AVE, WILD ROSE, WI 54984-6901
(920) 622-6017
Mailing address
701 GROVE AVE, WILD ROSE, WI 54984-6901
(920) 622-6017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4965
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363L00000X
—
WI
Enumeration date
09/06/2012
Last updated
04/29/2014
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