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

Michael Kilivris

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083409643

Michael Kilivris is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1330 Lincoln Ave Ste 201
San Rafael, CA 94901-2142
Phone: (415) 459-5999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083409643
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 13, 2025

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