Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Wilson McGonigal

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417521014

Kyle Wilson McGonigal is a Nurse Practitioner in San Antonio, Texas. Qualified in 2020, 6 years ago. Practices with Med Management Associates, a 34-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

7272 Wurzbach Rd Ste 706
San Antonio, TX 78240-4803
Phone: (210) 615-3483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1038376 (TX)

Record details

NPI number1417521014
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Med Management Associates — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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