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Contact Information

WAYNE KILTHAU
5301 GERINE BLOSSOM DR
SAN JOSE, CA95123-2118
 Phone: 408-799-1981
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WAYNE KILTHAU · (Male)

NPI Number 1235593690
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2016
Last updated 04/11/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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