MR. PAUL EDWARD KIONKA (NPI# 1104336528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104336528 |
Entity Type | Individual |
Full Name | MR. PAUL EDWARD KIONKA |
Credential | OT |
Practice Address |
450 Williams Way Moab UT 84532-2185 |
Mailing Address |
660 Platte River Ct San Jose CA 95111-1231 |
Practice Telephone | 4352593600 |
Mailing Telephone | 4082052142 |
Enumeration Date | 2017-10-11 |
Last Update Date | 2017-10-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
10537079-4201 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
450 WILLIAMS WAY |
City | MOAB |
State | UT |
Zip Code | 84532-2185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700857398 | Moab Valley Healthcare Inc | Anesthesiology | 450 Williams Way, Moab, UT 84532 | 2006-01-31 |
1649883547 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 450 Williams Way, Moab, UT 84532-2185 | 2020-08-28 |
1255810123 | Matthew Okelberry | Physical Therapist | 450 Williams Way, Moab, UT 84532-2185 | 2018-08-10 |
1134672371 | Hannah Elizabeth Bodenhamer | Physician Assistant | 450 Williams Way, Moab, UT 84532-2185 | 2016-07-24 |
1063826832 | Paul Michael Johnson | Family Medicine | 450 Williams Way, Moab, UT 84532-2185 | 2014-06-19 |
1881012235 | Lauren Prest | Psychiatry & Neurology | 450 Williams Way, Moab, UT 84532-2185 | 2014-04-02 |
1023454683 | Kimberly Franke | Orthopaedic Surgery | 450 Williams Way, Moab, UT 84532-2185 | 2013-05-21 |
1316288814 | James Walling | Radiology Practitioner Assistant | 450 Williams Way, Moab, UT 84532-2065 | 2013-03-07 |
1578858171 | Michael A Kueber Jr. | Emergency Medicine | 450 Williams Way, Moab, UT 84532-2185 | 2011-06-13 |
1811289416 | Laird Ian Clark | Nurse Anesthetist, Certified Registered | 450 Williams Way, Moab, UT 84532-2185 | 2011-05-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
1023655420 | William Douglas Wennell | Registered Nurse | 198 E. Center St., Moab, UT 84532 | 2019-12-04 |
1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
1659851681 | Grand County Emergency Medical Services Special Service District | Ambulance | 520 E 100 N, Moab, UT 84532 | 2018-08-20 |
1265937072 | Byron Clifton Palmer | Dentist | 2700 Us-191, Suite 1, Moab, UT 84532 | 2018-03-26 |
1902290588 | Katherine O'reilly | Advanced Practice Midwife | 51 North Mt.peale, Moab, UT 84532 | 2015-03-23 |
1235548108 | Tiffany Lee Ann Van Sickle | Case Manager/Care Coordinator | 198 E Center St., Moab, UT 84532 | 2014-08-05 |
1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
1518267459 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1105 South Highway Building 1, Moab, UT 84532 | 2010-10-26 |
1164694691 | Kenneth B Lindsay | Case Manager/Care Coordinator | 48 North Shields, Moab, UT 84532 | 2008-03-25 |
Find all providers in zip 84532 |
Taxonomy Code | 225XN1300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Neurorehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679949432 | Whitney Louder | Occupational Therapist | 1344 E Lake Springs Ln, Salt Lake City, UT 84117-7051 | 2015-08-17 |
1972979045 | Greg Wootton | Occupational Therapist | 74 E Kimballs Ln Ste 200, Draper, UT 84020-5005 | 2015-08-12 |
1215322722 | Mendability, LLC | Occupational Therapist | 915 S 500 E, American Fork, UT 84003-3357 | 2015-04-01 |
1033757257 | Joshua David Parry | Occupational Therapist | 5770 S 250 E Ste G50, Murray, UT 84107-6165 | 2019-12-18 |
1386120624 | Keith Jewson | Occupational Therapist | 1034 N 500 W, Provo, UT 84604-3380 | 2018-07-18 |
1891190930 | Allison Stone | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2014-10-31 |
1578962007 | Bonnie Larsen | Occupational Therapist | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2014-08-20 |
1578971578 | Allison Merrell | Occupational Therapist | 900 Round Valley Dr, Park City, UT 84060-7552 | 2014-07-23 |
1336443068 | Thomas N Riche | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2011-01-10 |
1689823338 | Richard Aaron Winn | Occupational Therapist | 1034 N 500 W, Provo, UT 84604-3380 | 2008-09-17 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. PAUL EDWARD KIONKA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.