KYRA MARIE DOUGHERTY DELAPEDRAJA PNP
NPI 1164666442
Nurse Practitioner - Pediatrics in Los Gatos, CA
About Kyra Marie Dougherty Delapedraja Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYRA MARIE DOUGHERTY DELAPEDRAJA PNP (NPI 1164666442) is an individual pediatrics provider in Los Gatos, California, licensed in California (NP95002321) and active in the NPI registry since April 2009.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kyra Delapedraja's NPI number?
The NPI number for Kyra Delapedraja is 1164666442. It was assigned to this individual provider in the NPPES registry on April 30, 2009. The provider is also known as Kyra Marie Dougherty Pnp.
Where is Kyra Delapedraja located?
Kyra Delapedraja practices at 15400 Los Gatos Blvd, Los Gatos, CA 95032. The listed phone number is (408) 523-3640.
What is Kyra Delapedraja's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
When was this NPI record last updated?
The NPPES record for Kyra Delapedraja was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kyra Marie Dougherty Delapedraja, PNP · NPI 1164666442
Pediatrics physician in Los Gatos, California. Individual provider, active in the CMS NPPES registry since April 30, 2009.
## Identity
- **NPI:** 1164666442 (Entity type: Individual)
- **Enumerated:** April 30, 2009
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** NP95002321 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15400 LOS GATOS BLVD, Los Gatos, CA 95032-2502
- **Phone:** (408) 523-3640
## Record status
- **NPPES last updated:** March 4, 2020
- **Other identifiers:** Medicaid 22678522 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1164666442) · Data from the CMS NPPES public registry.