Kirill Shumilov
Clinical Exercise Physiologist in San Mateo, CA. Individual provider (NPI-1).
NPI number1831847078
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1831847078
- Entity type
- Individual (NPI-1)
- Name
- Kirill Shumilov
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2022
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Y00000X | Clinical Exercise Physiologist | – | – | Yes |
Practice location
3050 S Delaware St Ste 130San Mateo, CA 94403-2394
Phone 650-319-8654
Mailing address
3050 S Delaware St # 310San Mateo, CA 94403-2392
Phone 650-319-8654
Other practice locations
3050 S Delaware St Ste 130
San Mateo, CA 94403-2394
San Mateo, CA 94403-2394
Phone 650-319-8654
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- Samy Soliman, Exercise SpecialistNPI 1881455145
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