Individual
DR. KYLE B NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, DEPT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101288067
VA
207L00000X
Anesthesiology Physician
1249302
IA
207L00000X
Anesthesiology Physician
Primary
56796-20
WI
207R00000X
Internal Medicine Physician
164422
NC
207R00000X
Internal Medicine Physician
56796
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194041285
—
WI
Enumeration date
04/14/2010
Last updated
01/20/2026
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