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Individual

KEVIN G NICKELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7777 SOUTHWEST FWY, # 1032, HOUSTON, TX 77074-1802
(713) 351-0644
(713) 351-0633
Mailing address
16605 SOUTHWEST FWY STE 250, SUGAR LAND, TX 77479-3476
(713) 351-0644
(713) 351-0633

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J0783
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039081701
TX
Enumeration date
03/01/2006
Last updated
04/27/2026
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