Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenny Steven Rivera, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891292629

Dr. Kenny Steven Rivera, MD is a Student in an Organized Health Care Education/Training Program in Clovis, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

180 W Shaw Ave
Clovis, CA 93612-3746
Phone: (559) 203-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4711 W. Ashlan Ave., San Joaquin, CA 93660-0737 — (559) 203-6640

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A175093 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891292629
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2018
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

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