Provider Demographics
NPI:1134454804
Name:KIONGERA, GEORGE MUIGAI (RN, GNP-BC, NP-C)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:MUIGAI
Last Name:KIONGERA
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Gender:M
Credentials:RN, GNP-BC, NP-C
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Mailing Address - Street 1:439 S UNION ST
Mailing Address - Street 2:STE 2
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-2844
Mailing Address - Country:US
Mailing Address - Phone:978-452-4254
Mailing Address - Fax:978-452-4254
Practice Address - Street 1:439 S UNION ST
Practice Address - Street 2:BUILDING 2, SUITE 107
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2837
Practice Address - Country:US
Practice Address - Phone:978-794-1158
Practice Address - Fax:978-794-1507
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2019-05-07
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Provider Licenses
StateLicense IDTaxonomies
MA266371363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner