Doctor Name: | DR. KYLE CHRISTIAN NICKEL |
NPI Number: | 1699738567 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 33012 |
Business Practice Address: | 8300 Alcott St Suite 201 Westminster, CO - 800314008 |
Business Phone Number: | 3034280004 |
Business Fax Number: | 3034281539 |
Mailing Address: | 8300 Alcott St, Suite 201 WESTMINSTER |
State: | CO |
Postal Code: | 800314008 |
Phone Number: | 3034280004 |
Fax Number: | 3034281539 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 33012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |