Individual
DR. KIRK RYAN NICKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5650 W FLAMINGO RD, SUITE #A, LAS VEGAS, NV 89103-0172
(702) 368-3910
(702) 871-4729
Mailing address
5650 W FLAMINGO RD, SUITE #A, LAS VEGAS, NV 89103-0172
(702) 368-3910
(702) 871-4729
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B00420
NV
Other
Enumeration date
09/17/2006
Last updated
11/16/2007
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