Individual
DR. KEVIN K NASSERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 COLUMBINE DR, HOLTON, KS 66436-8824
(785) 364-2116
Mailing address
1110 COLUMBINE DR, HOLTON, KS 66436-8824
(785) 364-2116
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-35729
KS
208800000X
Urology Physician
DR.0035851
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200912040A
—
KS
Enumeration date
05/27/2006
Last updated
06/01/2026
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