Individual
DR. KIRK DOMINIC CIANCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
03552
KY
208800000X
Urology Physician
Primary
OS0004645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017137800
—
FL
01
—
211521
AVMED
FL
01
—
3972115
CIGNA
FL
01
—
JTNOA
BCBS
FL
Enumeration date
08/30/2012
Last updated
11/08/2019
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